BACKGROUND AND OBJECTIVES Today, laparoscopic intrafascial hysterectomy and laparoscopic supracervical hysterectomy are well-accepted techniques. With our multimodal concept of laparoscopic hysterectomy for benign indications, preservation of the pelvic floor as well as reconstruction of pelvic floor structures and pre-existing prolapse situations can be achieved. METHODS The multimodal conce...

BACKGROUND AND OBJECTIVES The aim of this study was to evaluate postoperative patient satisfaction in women after laparoscopic supracervical hysterectomy (LASH). METHODS A retrospective study by a mailed questionnaire among 2334 women who underwent hysterectomy via LASH at the MIC-Klinik, Berlin, between 1998 and 2004 was conducted. Indications for LASH were uterus myomatosus, adenomyosis ute...

BACKGROUND Supracervical robotic-assisted laparoscopic sacrocolpopexy (SRALS) is a new surgical treatment for pelvic organ prolapse that secures the cervical remnant to the sacral promontory. We present our initial experience with SRALS in the same setting as supracervical robotic-assisted hysterectomy (SRAH). METHODS Women with vaginal vault prolapse and significant apical defects as defined...

BACKGROUND Use of morcellation during laparoscopic hysterectomy may result in seeding of uterine tissue throughout the abdominal cavity and development of 'iatrogenic' leiomyomatosis peritonealis disseminata. CASE Two years after a supracervical laparoscopic hysterectomy a 42-year-old parous women presented with abdominal pain and bloating. CT scans and subsequent surgical exploration reveled...

OBJECTIVES Our aim was to evaluate a new electrosurgical instrument (Lap Loop device) that amputates the uterine corpus from the cervix during a laparoscopic supracervical hysterectomy (LSH) and to compare the time required for cervical amputation with traditional methods. METHODS This comparative trial was conducted at the University of Louisville and Norton Healthcare Hospitals, Louisville,...

I have read with interest the paper titled “Case report of ovarian torsion mimicking ovarian cancer as an uncommon late complication of laparoscopic supracervical hysterectomy” written by Ciebiera et al. and published in “Menopause Review” in 2016; 15: 223-226. The authors described what they call an unusual presentation of an adnexal +10 cm large mass with adnexal torsion in a 46-year-old woma...

Objective. To describe the route of hysterectomy in a county hospital and evaluate the shift towards a minimal invasive approach. Design. Retrospective cohort study. Setting. A county hospital in Norway. Population. All women were scheduled for hysterectomy. Methods. Audit the route of hysterectomy in the period 2004-2012. Analyze the outcome of total laparoscopic hysterectomies. Main Outcome M...

The first hysterectomy was performed by Charles Clay in November 1843. It was performed due to a large myomatosus uterus. The operation was successful, however, the patient died on the fifteenth postoperative day. The first patient who survived a hysterectomy was in 1853 and it was performed by Walter Burnham. Out of his subsequent 15 patients, three patients did not survive. These early hyster...