Cervical Coring versus Noncoring Technique in Supracervical Laparoscopic Hysterectomy

We questioned whether cervical coring is necessary in laparoscopic supracervical hysterectomy. More than 250 laparoscopic supracervical hysterectomies have been done with transvaginal resection of the endocervical canal at our hospital since October 1992, and 35 cases without transvaginal resection of endocervical canal in 1995 and 1996. Women with suspicious cervical lesions and abnormal Papanicolaou smears were excluded from the noncoring technique. The purpose of coring the cervix is to prevent cancer in the remaining cervix, but the occurrence rate is the same as with an intact cervix. After comparing operating times, length of hospital stay, blood loss, and technique in both groups, we concluded that noncoring technique has many advantages over coring.