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Updated: Apr 26, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Supracervical hysterectomy - the vaginal route
Miłosz Wilczyński1, Jarosław Cieślak1, Andrzej Malinowski1
1Department of Surgical, Endoscopic and Oncologic Gynecology, Polish Mother's Memorial Hospital Research Institute, Lodz, Poland.
Subtotal hysterectomy, leaving the cervix intact, can be safely performed vaginally. This approach offers potential benefits for pelvic organ function compared to traditional hysterectomy methods.
Area of Science:
- Gynecology
- Minimally Invasive Surgery
- Surgical Techniques
Background:
- Cervix removal during hysterectomy is not always necessary.
- Evidence supporting total hysterectomy's superiority in pelvic organ function is lacking.
- Subtotal hysterectomy preserves the cervix.
Purpose of the Study:
- To evaluate the feasibility and outcomes of vaginal subtotal hysterectomy.
- To explore an alternative surgical approach for benign gynecological diseases.
Main Methods:
- Retrospective case series of 9 patients.
- Subtotal hysterectomy performed via the vaginal route.
- Focus on benign gynecological conditions.
Main Results:
- Successful completion of vaginal subtotal hysterectomy in all 9 cases.
- Demonstrated feasibility of the vaginal approach for this procedure.
Conclusions:
- Vaginal subtotal hysterectomy is a viable surgical option for benign gynecological diseases.
- This approach may offer advantages over traditional abdominal or laparoscopic routes.
- Further research is warranted to confirm long-term benefits.
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