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Updated: Feb 9, 2026
Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Assessing adequacy of cervical core specimens from extirpated uteri: implications for laparoscopic supracervical
Amos Adelowo1, Brinda Kamat2, Anthony Disciullo1
1Department of Obstetrics and Gynecology, Division of Urogynecology, Mount Auburn Hospital, Harvard Medical School, Cambridge, Massachusetts.
Study Objective:
To describe the histopathologic adequacy of cervical specimens after ex vivo excision of the cervical canal with cervical coring.
Design:
Descriptive study (Canadian Task Force classification III).
Setting:
Community medical center with university affiliation.
Intervention:
Endocervical coring.
Measurements And Main Results:
Eleven cervical core samples from hysterectomy specimens were evaluated. Cervical coring was performed using classic intrafascial supracervical hysterectomy instruments: 15 mm for 6 specimens and 20 mm for 5 specimens. Mean patient age was 49 years, and median (range) parity was 2 (0-3). Three patients (27.3%) were postmenopausal. In most patients (72.7%) leiomyomas and abnormal uterine bleeding was the indication for hysterectomy, and 3 patients (23.3%) had uterovaginal prolapse. The most common cervical pathologic diagnosis was chronic cystic cervicitis (72.7%). Histopathologic presence of the entire cervical transformation zone was present in all 11 cervical core samples. Endocervical glands were absent in the radial margins of all samples. Endometrial glands were absent in the radial margins in 7 samples (63.6%). There was no statistically significant difference in age, parity, cervical remnant, and cervical core dimensions between both core sizes (p > .05).
Conclusion:
Cervical coring to remove the endocervical canal during hysterectomy resulted in adequate removal of endocervical glands and endometrial glands in most cases, using either the 15-mm or 20-mm classic intrafascial supracervical hysterectomy instrument.
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