Comparison of re-operation rates and complication rates after total laparoscopic hysterectomy (TLH) and laparoscopy-assisted supracervical hysterectomy (LASH)

Laparoscopic Supracervical Hysterectomy Using EnSeal vs Standard Bipolar Coagulation Technique: Randomized Controlled Trial

“…The EnSeal instrument enables sealing and cutting, which presumably has an influence on operative time and workflow of the procedure because repeated changing between a standard laparoscopic electrocoagulation instrument and scissors is not applied. In our study collective, which is comparable to other studies of hysterectomy procedures, use of the EnSeal device reduced total operative time, and the other investigated clinical parameters were not inferior compared with those in the control group [12].…”

“…We are aware that operative time and uterus weight are generally dependent on the patient collective, surgeon experience, and hospital conditions. However, total operative time and uterus weights given in this article are comparable to those in previously published studies of laparoscopic hysterectomy [12,13].…”

Power morcellation for women undergoing laparoscopic supracervical hysterectomy — safety of procedure and clinical experience from 426 cases

“…Obviously, due to the rarity of these malignancies the data on the prevalence of sarcoma in morcellated specimens are limited and even fewer studies have focused on the real influence of power morcellation on the survival rate in patients who underwent such an unintentional procedure during primary surgery [13][14][15]. In another analysis of re-operation rates after LASH, it was found that extirpations of the cervical stump were performed in 2 women (0.66%) due to leiomyosarcomas in the morcellated uterus [16]. Pritts and co-workers challenged the question whether morcellation of occult leiomyosarcomas resulted in inferior outcomes, compared with en bloc tumour removal during an open classical surgery.…”

Comparison of reoperation rates, perioperative outcomes in women with endometrial cancer when the standard of care shifts from open surgery to laparoscopy

“…Subtotal or total laparoscopic hysterectomy is a standard procedure in our university hospital, and the surgeons are experienced with the technique, as reported elsewhere [14][15][16][17].…”