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Laparoscopic supracervical hysterectomy with Filshie clips
W J van Wijngaarden1, G M Filshie
1Divisie Verloskunde en Gynaecologie Academisch Medisch Centrum, Meibergdreef 9, Postbus 22660, 1100DD Amsterdam, The Netherlands.
The Journal of the American Association of Gynecologic Laparoscopists
|February 15, 2001
Summary
Filshie clips are effective for pedicle ligation in laparoscopic subtotal hysterectomy, leading to high patient satisfaction and improved sexual function. Recovery times were within expected ranges for this minimally invasive procedure.
Area of Science:
- Gynecology
- Minimally Invasive Surgery
Background:
- Laparoscopic subtotal hysterectomy is a common gynecological procedure.
- Pedicle ligation is a critical step in this surgery.
Purpose of the Study:
- To evaluate the efficacy of Filshie clips for pedicle ligation during laparoscopic subtotal hysterectomy.
Main Methods:
- Retrospective study involving 12 patients.
- Procedure included endoscopic stapling, Filshie clips for uterine arteries, diathermy, and morcellation.
- Data collected via questionnaire survey.
Main Results:
- Two patients experienced postoperative spotting.
- Median return to home activity: 7.5 weeks; return to work: 9.5 weeks.
- All 12 women reported satisfaction; 6/10 sexually active patients reported improved sexual functioning.
Conclusions:
- Filshie clips are a safe and effective option for pedicle ligation in laparoscopic subtotal hysterectomy.
- The procedure demonstrates high patient satisfaction and potential for improved sexual function post-surgery.