Laparoscopic and Minimally Invasive Procedures Continued
Laparoscopic Supracervical Hysterectomy (LSH)
Laparoscopic Supracervical Hysterectomy (LSH) is a type of hysterectomy that allows the woman to retain her cervix while taking out the part of the uterus that causes the painful periods and heavy vaginal bleeding. Some women feel that their cervix helps to maintain their sexual function and provides pelvic organ support. Our doctors can accommodate this request by performing an Laparoscopic Supracervical Hysterectomy (LSH). A recent New England Journal of Medicine article found that patients undergoing an Laparoscopic Supracervical Hysterectomy(LSH) had shorter operating times, shorter hospital stays and fewer complications than if they were to undergo an Laparoscopic Assisted Vaginal Hysterectomy (LAVH). In addition, there has been no published data to confirm that the cervix helps to maintain pelvic organ support. With our advanced laparoscopic skills, we can perform the Laparoscopic Supracervical Hysterectomy(LSH) with other reconstructive procedures if needed and our patients usually go home the next day.
Indications
The indications for an Laparoscopic Supracervical Hysterectomy (LSH) are the same as for those undergoing an Laparoscopic Assisted Vaginal Hysterectomy (LAVH) with the patient's desire to retain the cervix. If there are signs and symptoms of pelvic organ prolapse or urinary incontinence, Drs. Miklos and Moore can incorporate their array of laparoscopic techniques to correct these problems at the time of the Laparoscopic Supracervical Hysterectomy(LSH).
Laparoscopic Supracervical Hysterectomy(LSH) Indications
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Desire to Retain Cervix |
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Pelvic Prolapse |
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Urinary Incontinence |
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Fibroids |
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Endometriosis |
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Pelvic Pain/Adhesions |
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Ovarian Cysts |
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Heavy Vaginal Bleeding (Periods) |
Contraindications
The contraindications to the Laparoscopic Supracervical Hysterectomy (LSH) are the same as the Laparoscopic Assisted Vaginal Hysterectomy (LAVH). As stated earlier, they would be if the uterus is greater than 16-week size or if you have a serious medical condition that would not be safe to undergo anesthesia.
Complications
Laparoscopic Supracervical Hysterectomy (LSH) has its unique complications in addition to the previously mentioned in the LAVH section because the cervix remains behind. Although we have not had complications, a study by van der Stege had 25% of the patients continued to menstruate and 10% had vaginal discharge. By the fact that the cervix is attached to the vagina, some vaginal length may be compromised during a hysterectomy. We attempt to minimize removing the vaginal tissue, but if the cervix was to remain, then there would be no additional tissue removed.
Laparoscopic Supracervical Hysterectomy (LSH) Surgical Complications
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Vaginal Discharge |
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Cervical Discharge |
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Bladder Injury |
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Ureter Injury |
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Nerve Injury |
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Intestinal Injury |
Atlanta Urogynecology Associates Experience
Drs. Miklos and Moore have been performing the Laparoscopic Supracervical Hysterectomy (LSH) by the request of their patients. Because of our vast experience in laparoscopic surgery, we can perform this technically difficult procedure in an efficient manner and are able to adDr.ess any concurring problems at the time of Laparoscopic Supracervical Hysterectomy (LSH). All of the benefits of the Laparoscopic Assisted Vaginal Hysterectomy (LAVH) apply in addition to even a shorter operating time when the cervix remains intact. |
