Supracervical hysterectomy by laparoendoscopic single site surgery

Abstract

LSH by SPA with transcervical morcellation is a feasible procedure.

Laparoscopic Supracervical Hysterectomy With Transcervical Morcellation: Our Experience

“…We have used this technique for LSHs since the 1990s and have thus decided to adopt it routinely in surgical treatment of benign gynecologic diseases. The literature reports only a few studies using a similar technique, all with small samples [4][5][6][7][8][9].…”

“…Moreover, our peculiar morcellation (through the cervical canal) allows the surgeon to accumulate morcellated chips in the pouch of Douglas. This advantage does not have a clear protective value, but we hypothesized that it could reduce the risk of morcellated tissue spreading [4][5][6][7][8][9]. Possible solutions to decrease the incidence of hidden malignancies on surgical specimens may include the detection of specific classes of risk (i.e., large myomas in postmenopausal women), preliminary assessment of the uterine cavity via office hysteroscopy, or development of specific bags for safer morcellation [28][29][30].…”

“…The literature reports only a few studies using a similar technique, all with small samples [4][5][6][7][8][9]. In addition to these experiences, we developed a specific uterine manipulator in order to improve the morcellating phase.…”

Newly Developed Laparoscopic Needle Holder That Facilitates Knot Tying Makes Vaginal Cuff Suturing Easy in Single-Port Laparoscopic Hysterectomy

“…The first case of single-port laparoscopic hysterectomy was first reported in 2009, 9 and different studies underline the feasibility, effectiveness, and safeness of single-port laparoscopic hysterectomy. 10 The major disadvantage of single-port surgery is the limitation of working space. Suturing and knot tying during a single-port laparoscopic hysterectomy have been obstacles because of the high technical requirements and limited space.…”

“…The first case of single-port laparoscopic hysterectomy was first reported in 2009, 9 and different studies underline the feasibility, effectiveness, and safeness of single-port laparoscopic hysterectomy. 10…”