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Updated: May 2, 2026
Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Feasibility and perioperative morbidity of minilaparoscopic hysterectomy
Sebastian Berlit1, Benjamin Tuschy, Joachim Brade
1University Medical Center Mannheim; Theodor-Kutzer-Ufer 1-3, 68167 Mannheim, Germany. sebastian.berlit@umm.de.
Aim:
To analyze the feasibility and perioperative morbidity of minilaparoscopy compared to conventional laparoscopy (CL) in patients undergoing laparoscopic hysterectomy.
Patients And Methods:
Between 04/2012 and 04/2013, 31 patients were prospectively enrolled to undergo hysterectomy via minilaparoscopy with 3.5-mm instruments. A cohort of 108 matched patients who underwent hysterectomy via CL performed by the same surgeon between 08/2011 and 12/2012 served as the control group.
Results:
There were no statistically significant differences concerning duration of surgery, overall hospital stay and perioperative haemoglobin drop between groups. However, in the study group, the registered blood loss via suction tube was higher (p-value=0.0216) and in two women, intraoperative complications occurred in the form of thermal damage of the ureter via bipolar coagulation.
Conclusion:
Hysterectomy via minilaparoscopy is a feasible laparoscopic approach. Nevertheless, the use of minilaparoscopy should be considered carefully as the reduced diameter of the instruments might impede certain surgical procedures, such as vessel sealing.
