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Updated: Jul 13, 2026

05:21
Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
[Laparoscopic hysterectomy].
C Copăescu1, R Munteanu, R Iosifescu
1Clinica de Chirurgie Generală, Spitalul Clinic Sf. Ioan Bucureşti. catalin.copaescu@arce.ro
Summary
Laparoscopic hysterectomy offers advantages of minimally invasive surgery. Surgeon experience and technological advancements are key to its adoption and widespread use in gynecologic procedures.
Area of Science:
- Gynecology
- Minimally Invasive Surgery
Context:
- General Surgery Clinic of "Sfantul Ioan" Hospital, Bucharest
- 12 years of experience in laparoscopic hysterectomy
- 251 laparoscopic hysterectomies out of 1491 total hysterectomies
Purpose:
- To present the experience and outcomes of laparoscopic hysterectomy
- To analyze indications, complications, and surgical techniques
- To evaluate the role of surgeon experience and technology in adopting minimally invasive approaches
Summary:
- Analysis of 251 laparoscopic hysterectomies for indications including uterine fibroma (82.07%) and uterine prolapse (13.14%).
- Evaluation of surgical outcomes, including hemorrhagic, ureteral, urinary bladder, or rectal lesions, and postoperative complications.
- Discussion of evolving surgical techniques from laparoscopic-assisted vaginal hysterectomy to integral laparoscopic procedures.
Impact:
- Laparoscopic hysterectomy demonstrates the benefits of minimally invasive surgery.
- Surgeon experience and technological development are crucial for the acceptance and promulgation of this technique.

