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Laparoscopic Supracervical Hysterectomy for Large Uteri

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Hysterectomy

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.

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Authors and Affiliations

  1. Department of Obstetrics and Gynaecology, Whipps Cross University Hospital, Barts Health NHS Trust, London, E11 1NR, UK

    Funlayo Odejinmi & Reeba Oliver

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  1. Funlayo Odejinmi
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  2. Reeba Oliver
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Correspondence to Funlayo Odejinmi .

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Editors and Affiliations

  1. Gynecology and Obstetrics, University Hospitals Schleswig-Holstein, Campus Kiel, Kiel, Germany

    Ibrahim Alkatout

  2. Gynecology and Obstetrics, University Hospitals Schleswig-Holstein, Campus Kiel, Kiel, Germany

    Liselotte Mettler

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Odejinmi, F., Oliver, R. (2018). Laparoscopic Supracervical Hysterectomy for Large Uteri. In: Alkatout, I., Mettler, L. (eds) Hysterectomy. Springer, Cham. https://doi.org/10.1007/978-3-319-22497-8_33

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  • DOI: https://doi.org/10.1007/978-3-319-22497-8_33

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