[Morcellation laparoscopic hysterectomy of the CASH (Classical, Abdominal, Semm, Hysterectomy) type]

A classical abdominal Semm hysterectomy (CASH) morcellation laparoscopic hysterectomy was performed without bilateral salpingo-oophorectomy in 17 patients using 4 punctures with intracorporeal and extracorporeal suturing in 13 patients and in 4 patients with stapler of 35 mm. Removal of endocervical and endometrial canal through vaginal morcellation, the advantages of this procedure are its reduced blood loss, minimum possibility of ureter or bladder injury and decreased risk of infection through vaginal contamination, as well as a fast recovery period and minimum of pain.