Laparoscopic supracervical hysterectomy with transcervical morcellation: initial experience

Area of Science:

• Gynecologic Surgery
• Minimally Invasive Procedures
• Surgical Innovation

Background:

• Laparoscopic supracervical hysterectomy (LSH) is a common procedure for benign uterine conditions.
• Traditional morcellation techniques can have limitations, including the need for larger port sites.
• A novel approach to morcellation in LSH could enhance safety and efficiency.

Purpose of the Study:

• To describe a novel transcervical morcellation technique for LSH.
• To evaluate the feasibility and potential benefits of this new method.
• To assess outcomes and complications associated with transcervical morcellation.

Main Methods:

• Retrospective observational study (Canadian Task Force classification III).
• Involved 51 women undergoing LSH with transcervical morcellation at a single institution.
• Described a novel surgical technique using a transcervical approach for uterine fundus morcellation.

Main Results:

• Successful completion of LSH with transcervical morcellation in all 51 patients.
• Mean operating time for the procedure was 64.3 minutes; median hospital stay was 1 day.
• No intraoperative or postoperative complications were reported at a median follow-up of 4.4 months.

Conclusions:

• Laparoscopic supracervical hysterectomy with transcervical morcellation is a feasible and safe procedure.
• This technique effectively removes the cervical core.
• It eliminates the need to enlarge abdominal port sites for uterine morcellator introduction.