Laparoscopic Supracervical hysterectomy (L-SH)‎

Abstract EN

Laparoscopic supracervical hysterectomy is a viable al¬ternative with putative advantages over the same proce¬dure performed via laparotomy for those individuals re¬quiring uterine extirpation without indication for cervical removal.

The laparoscopic approach to this procedure pro¬vides even lower morbidity and therefore can enhance clini¬cal outcomes.

The risk of subsequent cervical cancer, an uncommon and largely preventable occurrence, may not outweigh the benefits of supracervical hysterectomy, which should be offered as an option for selected patients.

Therefore it seems likely that, in a woman with a his¬tory of regular screening with negative cytology, there will be a minimal risk of future malignant change in a cervical remnant, even this risk would be reduced to near zero if the transition zone and part or all of the endocervical ca¬nal were to be removed.