Laparoscopic Supracervical Hysterectomy With Transcervical Morcellation: Our Experience

Study Objective: To present our experience with laparoscopic supracervical hysterectomy with transcervical morcellation (LSH-TM). Design: A retrospective observational study (Canadian Task Force Classification III). Setting: Gynecologic Department at Brunico Hospital, Brunico, Italy. Patients: Three hundred sixty-five patients affected by gynecologic benign diseases who underwent LSH-TM. Interventions: A minimally invasive surgical technique for supracervical hysterectomy that involves extraction of the morcellated uterus through the cervical canal. Measurements and Main Results: We performed LSH-TM successfully in 365 patients; the mean (standard deviation) operating time was 72.24 (23.21) minutes. We registered no intraoperative complications. The main postoperative complications resulted in 2 cases of second-look laparoscopy because of internal bleeding, 5 cases of asymptomatic hematoma around the cervical stump, and 7 cases of pelvic pain. Conclusion: Our experience shows that LSH-TM is a safe and easy to perform technique and that it ensures minimal blood loss. (C) 2015 AAGL. All rights reserved.