Laparoscopic subtotal hysterectomy using the plasma kinetic and lap loop systems: An alternative approach in the surgical management of women with uterine fibroids

Laparoscopic supracervical hysterectomy: impact of body mass index and uterine weight

“…The uterine size and the weight of the uterine specimens were substantially higher in group 1 resulting in long operative time and more blood loss as compared to group 2. The median operative times and blood loss was more in our study as compared to other studies on this subject [7][8][9]. Considering the larger uterine size in our study, it is not surprising to observe that it took us more time to operate, and there was more blood loss.…”

Laparoscopic Subtotal Hysterectomy: Evidence and Techniques

“…Various methods for prevention of postoperative cyclical bleeding after LSH have been described [18,28,29], although none has been proved to prevent long-term cyclical bleeding after LSH. Some advocate desiccation of the endocervical canal via electrosurgery [25], whereas others suggest excision of the endocervical canal [30,31].…”

“…Surgeons may use mechanical scissors, electrosurgery, or ultrasonic energy to divide the corpus from the cervix. Monopolar electrosurgical amputation may be performed using a narrow active electrode (e.g., scissor tips or L-hook) or purpose-built instruments such as the Lap Loop (Roberts Surgical Healthcare, Ltd., Kidderminster, UK) [18,25]. The Lap Loop is reported to reduce the time taken to separate the corpus and cervix by 80% (n 5 30) [27] and may decrease the risk of inadvertent injury to adjacent structures because a large portion of the loop is insulated and the loop is retracts back into the introducer during cervical amputation [25].…”

“…All procedures are performed with the patient under general anesthesia, and the bladder is catheterized. Four-port operative laparoscopy is used by most surgeons [18][19][20]. More recently, single-port laparoscopic and robotic laparoscopic approaches have been described [21][22][23][24].…”

A new approach to supracervical hysterectomy during laparoscopic sacral colpopexy for pelvic organ prolapse: A randomized clinical trial

“…These devices facilitate and increase the safety of this procedure. 11,12 However, the available laparoscopic morcellators may be difficult to use (weight, ergonomics, etc.) and they could be associated to potentially serious complications such as visceral injuries.…”