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Updated: Aug 17, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Outpatient laparoscopic supracervical hysterectomy with assistance of the lap loop
Marit Lieng1, Olav Istre, Anton Langebrekke
1Department of Gynecology and Obstetrics, Endoscopic Unit, Ullevaal University Hospital, Oslo, Norway. m.lieng@frisurf.no
Study Objective:
To elucidate the safety and patient satisfaction with laparoscopic supracervical hysterectomy (LSH) performed in an outpatient setting.
Design:
Prospective case study (Canadian Task Force classification II-2).
Setting:
Public hospital.
Patients:
Forty-three women.
Intervention:
Outpatient LSH performed by lap-loop.
Measurements And Main Results:
The procedure was recommened by 41 out of 43 patients. Three patients (7%) were admitted to the hospital due to complications after the surgery. One patient was admitted because of a vasovagal reaction after anesthesia; she recovered quickly and was discharged after a few hours of observation. One patient was admitted because of postoperative pain and discharged the next day; she had a prolonged postoperative recovery with pain and subfebrile temperature. One patient underwent laparotomy due to major intraabdominal bleeding. Postoperative complications occurred in another five patients (12%) without need for hospitalization (infected intra-abdominal hematoma, urine retention, cystitis, cystitis combined with wound infection, and pneumonia).
Conclusion:
Laparoscopic supracervical hysterectomy as an outpatient procedure is a safe and highly acceptable treatment.
