Abstract
Objective
To evaluate the feasibility of laparoscopic supracervical hysterectomy (LSH) by single port access (SPA) with transcervical morcellation.
Study design
Observational study conducted between September 2010 and March 2012 in two departments of Gynaecology. Forty women who required hysterectomy underwent LSH by SPA with transcervical morcellation.
Results
LSH by SPA with transcervical morcellation was completed successfully in 37/40 (93.5 %) patients. Mean operating time was 128 (±55) min and mean hospital stay was 3.5 (±1) days. The mean of uterus weight was 310 (±214) g. The mean estimated blood loss was 250 (±110) ml. Four women (10 %) required a second surgical intervention including two cases of endocervical bleeding.
Conclusion
LSH by SPA with transcervical morcellation is a feasible procedure.
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References
Learman LA, Summitt RL Jr, Varner RE, McNeeley SG, Goodman-Gruen D, Richter HE et al (2003) A randomized comparison of total or supracervical hysterectomy: surgical complications and clinical outcomes. Total or supracervical hysterectomy (TOSH) research group. Obstet Gynecol 102:453–462
Thakar R, Ayers S, Clarkson P, Stanton S, Manyonda I (2002) Outcomes after total versus subtotal abdominal hysterectomy. N Engl J Med 347:1318–1325
Gimbel H, Zobbe V, Andersen BM, Filtenborg T, Gluud C, Tabor A (2003) Randomised controlled trial of total compared with subtotal hysterectomy with one-year follow up results. BJOG 110:1088–1098
Kuppermann M, Summitt RL Jr, Varner RE, McNeeley SG, Goodman-Gruen D, Learman LA et al (2005) Sexual functioning after total compared with supracervical hysterectomy: a randomized trial. Total or supracervical hysterectomy research group. Obstet Gynecol 105:1309–1318
American College of Obstetricians and Gynecologists (2007) ACOG Committee Opinion No. 388 November 2007: supracervical hysterectomy. Obstet Gynecol 110:1215–1217
Kives S, Lefebvre G, Wolfman W, Leyland N, Allaire C, Awadalla A, Best C, Leroux N, Potestio F, Rittenberg D, Soucy R, Singh S (2010) Supracervical hysterectomy. J Obstet Gynaecol Can 32:62–68
Nieboer TE, Johnson N, Lethaby A, Tavender E, Curr E, Garry R, van Voorst S, Mol BW, Kluivers KB (2009) Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev 3:CD003677
Ghomi A, Cohen SL, Chavan N, Gunderson C, Einarsson J (2011) Laparoscopic-assisted vaginal hysterectomy vs laparoscopic supracervical hysterectomy for treatment of nonprolapsed uterus. J Minim Invasive Gynecol 18:205–210
Fagotti A, Bottoni C, Vizzielli G, Alletti SG, Scambia G, Marana E, Fanfani F (2011) Postoperative pain after conventional laparoscopy and laparoendoscopeic single site surgery (LESS) for benign adnexal disease: a randomized trial. Fertil Steril 96(255–259):e2
Lee JH, Choi JS, Jeon SW, Son CE, Hong JH, Bae JW (2011) A prospective comparison of single-port laparoscopically assisted vaginal hysterectomy using transumbilical GelPort access and multiport laparoscopically assisted vaginal hysterectomy. Eur J Obstet Gynecol Reprod Biol 158:294–297
Yim GW, Jung YW, Paek J, Lee SH, Kwon HY, Nam EJ, Kim S, Kim JH, Kim YT, Kim SW (2010) Transumbilical single-port access versus conventional total laparoscopic hysterectomy: surgical outcomes. Am J Obstet Gynecol 203:26.e1–26.e6
Kim TJ, Lee YY, Cha HH, Kim CJ, Choi CH, Lee JW, Bae DS, Lee JH, Kim BG (2010) Single-port-access laparoscopic-assisted vaginal hysterectomy versus conventional laparoscopic-assisted vaginal hysterectomy: a comparison of perioperative outcomes. Surg Endosc 24:2248–2252
Surgit O, Gumus II (2011) Laparoscopic supracervical hysterectomy, bilateral salpingo-oophorectomy, sacrocolpopexy and Burch colposuspension performed during the same operative session via a single port. Arch Gynecol Obstet 283(Suppl 1):127–131
Pelosi MA, Pelosi MA 3rd (1992) Laparoscopic supracervical hysterectomy using a single-umbilical puncture (mini-laparoscopy). J Reprod Med 37:777–784
Park HS, Kim TJ, Song T, Kim MK, Lee YY, Choi CH, Lee JW, Kim BG, Bae DS (2011) Single-port access (SPA) laparoscopic surgery in gynecology: a surgeon’s experience with an initial 200 cases. Eur J Obstet Gynecol Reprod Biol 154:81–84
Yoon G, Kim TJ, Lee YY, Kim CJ, Choi CH, Lee JW, Kim BG, Bae DS (2010) Single-port access subtotal hysterectomy with transcervical morcellation: a pilot study. J Minim Invasive Gynecol. 17:78–81
Wenger JM, Dubuisson JB, Dällenbach P (2012) Laparoendoscopic single-site supracervical hysterectomy with endocervical resection. J Minim Invasive Gynecol 19(2):217–219
Rosenblatt P, Makai G, DiSciullo A (2010) Laparoscopic supracervical hysterectomy with transcervical morcellation: initial experience. J Minim Invasive Gynecol 17:331–336
Donnez O, Squifflet J, Leconte I, Jadoul P, Donnez J (2007) Posthysterectomy pelvic adenomyotic masses observed in 8 cases out of a series of 1405 laparoscopic subtotal hysterectomies. J Minim Invasive Gynecol 14:156–160
Sepilian V, Della Badia C (2003) Iatrogenic endometriosis caused by uterine morcellation during a supracervical hysterectomy. Obstet Gynecol 102:1125–1127
Nesbitt-Hawes EM, Maley PE, Won HR, Law KS, Zhang CS, Lyons SD, Ledger W, Abbott JA (2013) Laparoscopic subtotal hysterectomy: evidence and techniques. J Minim Invasive Gynecol. doi:10.1016/j.jmig.2013.01.009
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Estrade, J.P., Crochet, P., Aumiphin, J. et al. Supracervical hysterectomy by laparoendoscopic single site surgery. Arch Gynecol Obstet 290, 1169–1172 (2014). https://doi.org/10.1007/s00404-014-3360-z
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DOI: https://doi.org/10.1007/s00404-014-3360-z