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Updated: Apr 23, 2026
Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Laparoscopic supracervical hysterectomy with transcervical morcellation: our experience
Angela Graziano1, Giuseppe Lo Monte1, Herbert Hanni2
1Department of Morphology Surgery and Experimental Medicine, Section of Obstetrics and Gynaecology, University of Ferrara, Ferrara, Italy.
Study Objective:
To present our experience with laparoscopic supracervical hysterectomy with transcervical morcellation (LSH-TM).
Design:
A retrospective observational study (Canadian Task Force Classification III).
Setting:
Gynecologic Department at Brunico Hospital, Brunico, Italy.
Patients:
Three hundred sixty-five patients affected by gynecologic benign diseases who underwent LSH-TM.
Interventions:
A minimally invasive surgical technique for supracervical hysterectomy that involves extraction of the morcellated uterus through the cervical canal.
Measurements And Main Results:
We performed LSH-TM successfully in 365 patients; the mean (standard deviation) operating time was 72.24 (23.21) minutes. We registered no intraoperative complications. The main postoperative complications resulted in 2 cases of second-look laparoscopy because of internal bleeding, 5 cases of asymptomatic hematoma around the cervical stump, and 7 cases of pelvic pain.
Conclusion:
Our experience shows that LSH-TM is a safe and easy to perform technique and that it ensures minimal blood loss.
