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Hysterectomy pp 481-493 | Cite as

Laparoscopic Supracervical Hysterectomy for Large Uteri

  • Funlayo OdejinmiEmail author
  • Reeba Oliver
Chapter

Abstract

In recent years removing the uterus laparoscopically has become the method of choice to perform a hysterectomy. A supracervical hysterectomy has been shown to result in better intra operative and postoperative outcomes, although the evidence is less robust when analyzing procedures performed laparoscopically. Notwithstanding the above caveat, as cervical malignancy remains the only absolute contraindication to a supracervical hysterectomy, many of the perceived limitations to the procedure have been eroded. This includes the removal of large uteri, especially those weighing more than 500 g. Advances in endoscopic technology has enabled their removal, but published data on the procedure, the technique and its outcomes remain scarce.

We aim to present a consensus on the safety and feasibility of the laparoscopic supracervical hysterectomy for the large uteri from existing data as well as personal experience. We also aim to provide the surgical techniques and the various modalities and safeguards necessary to overcome the challenges inherent in this procedure.

Thus armed with reasonable endoscopic surgical skills, current advanced laparoscopic equipment and the knowledge to modify surgical techniques appropriately, the laparoscopic surgeon of today should be able to remove even large uteri laparoscopically and safely.

Keywords

Laparoscopic supracervical hysterectomy Surgical technique 

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Copyright information

© Springer International Publishing Switzerland 2018

Authors and Affiliations

  1. 1.Department of Obstetrics and GynaecologyWhipps Cross University Hospital, Barts Health NHS TrustLondonUK

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