Laparoscopic Total and Supracervical Hysterectomy
Although described as a medical procedure since the second century, the concept of removing the uterus, or hysterectomy, for medical indications has undergone a profound journey from a shunned operation with almost 100 % mortality to one of the most common, nonobstetric operations performed today. Advances in instrumentation and minimally invasive techniques, described in this chapter, have made this a virtually outpatient procedure, with many indications and minimal complication rates. This chapter describes step-by-step techniques to achieve a minimally invasive approach to hysterectomy as well as indications and caveats to minimize medical mishaps. Mastery of the technique is transferable to other minimally invasive pelvic procedures.
KeywordsCatheter Europe Torque Sarcoma Sponge
- 3.US Department of Health and Human Services Centers for Disease Control and Prevention National Center for Health Statistics. Health, United States 2006 with chartbook on trends in the health of Americans. Table 99. Hyattsville; 2006.Google Scholar
- 12.Richardson EH. A simplified technique for abdominal panhysterectomy. Surg Gynaecol Obstet. 1929;48:248–51.Google Scholar
- 25.Boosz A, Lermann J, Mehlhorn G, Loehberg C, Renner SP, Thiel FC, et al. Comparison of re-operation rates and complication rates after total laparoscopic hysterectomy (TLH) and laparoscopy-assisted supracervical hysterectomy (LASH). Eur J Obstet Gynecol Reprod Biol. 2011;158:269–73.PubMedCrossRefGoogle Scholar