Laparoscopic supracervical hysterectomy (aka subtotal hysterectomy)
The laparoscopic supracervical hysterectomy is similar to Laparoscopic Total Hysterectomy, except, in this technique the cervix is preserved.
Preservation of the cervix implies the existence of a healthy cervix. If there is any indication of any precancerous cells in the cervix- then laparoscopic supracervical hysterectomy is not indicated.
In this technique, to reduce or exclude the possible development of a cervical stump malignancy in the remaining cervical functional tissue, the transformation zone is resected.
About 0.06% of women may experience cervical bleed following surgery.
There are some benefits that have been noted with this technique: Preservation of the cardinal ligament, preservation of the pericervical network of nerves, protection of the ureters, uterine artery, bladder, rectum, no colpotomy, the vagina is not shortened, elimination of the method with associated secondary healing of the vaginal cuff, complete preservation of the pelvic floor anatomy through preservation of the support function of the cardinal ligament, complete preservation of sexual function with regard to subjective vaginal and cervical components.
