Laparoscopic Supracervical Hysterectomy A Standardised Safe Minimal Invasive Technique [Experience of 3,920 Operations]

Williams, Jeyakumar

doi:10.5005/jp/books/10476_16

Cited by 2 publications

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“…The technique is used mainly for fibroids, therapy-resistant dysfunctional uterine bleeding and adenomyosis. This technique is now practised routinely in Kiel according to the standardised safe minimally invasive technique [22,23]. In a retrospective study on the clinical significance of adhesions, the effect of SprayShield as an adhesion prophylaxis has been evaluated [24].…”

Section: The Intrafascial Supracervical Hysterectomy and The Laparoscmentioning

confidence: 99%

Sun beams on hysterectomies

2011

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Are hysterectomies still necessary in 2010 and why and how should they be performed? As every now and then a critical evaluation of routine surgical procedure is necessary, there it is: This review follows the "Perspectives on laparoscopic hysterectomy" by Michelle Nisolle (Gynecol Surg 7:105-107, 2010). Hysterectomies performed in the field of obstetrics and gynaecology until the nineteenth century had always a lethal end. In the twentieth century, they were perhaps too frequently performed whereas the twenty-first century has witnessed a steep decline in hysterectomy numbers. It is therefore an opportune time to review the indications for hysterectomies, hysterectomy techniques and the present and future status of this surgical procedure. There is a widespread consensus that hysterectomies are primarily to be performed in cancer cases and obstetrical chaos situations even though minimal invasive surgical technologies have made the procedure more patient-friendly than the classical abdominal opening. Today, minimally invasive hysterectomies are performed as frequently as vaginal hysterectomies, and the vaginal approach is still the first choice if the correct indications are given. It is no longer necessary to open the abdomen; this procedure has been replaced by laparoscopic surgery with multiple and single port entries. Laparoscopic and roboticassisted laparoscopic surgery can also be indicated for hysterectomies in selected patients with gynaecological cancers. For women of reproductive age, laparoscopic myomectomies and numerous other uterine-preserving techniques are applied in a first treatment step of menometrorrhagia, uterine adenomyosis and submucous myoma. These interventions are only followed by a hysterectomy if the pathology prevails.

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Section: The Intrafascial Supracervical Hysterectomy and The Laparoscmentioning

confidence: 99%

Sun beams on hysterectomies

2011

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“…This technique is now practised routinely in Kiel according to the standardised safe minimally invasive technique. 25,26 In a retrospective study on the clinical significance of adhesions, the effect of SprayShield as an adhesion prophylaxis has been evaluated. 27…”

Section: Laparoscopic Assisted Sub-total or Supracervical Hysterectommentioning

confidence: 99%

Hysterectomy for Uterine Disease in 2010: From past to Future

Mettler

Sammur

Schollmeyer

2010

Clin Med�Insights�Reprod�Health

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Hysterectomies were unknown in the field of obstetrics and gynaecology until the 19th century. In the 20th century they were perhaps too frequently performed whereas the 21st century has witnessed a steep decline in hysterectomy numbers. It is therefore an opportune time to review the indications for hysterectomies, hysterectomy techniques and the present and future status of this surgical procedure. There is a widespread consensus that hysterectomies are primarily to be performed in cancer cases and obstetrical chaos situations even though minimal invasive surgical technologies (MIS) have made the procedure more patient friendly than the classical abdominal opening. Today, minimally invasive hysterectomies are performed as frequently as vaginal hysterectomies and the vaginal approach is the first choice if the correct indications are given. It is no longer necessary to open the abdomen; this procedure has been replaced by laparoscopic surgery. Laparoscopic and robotic-assisted laparoscopic surgery can also be indicated for hysterectomies in selected patients with gynaecological cancers. For women of reproductive age, laparoscopic myomectomies and numerous other uterine-preserving techniques are applied in a first treatment step of meno-metrorrhagia, uterine adenomyosis and submucous myoma. These interventions are only followed by a hysterectomy if the pathology prevails.

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Laparoscopic Supracervical Hysterectomy A Standardised Safe Minimal Invasive Technique [Experience of 3,920 Operations]

Cited by 2 publications

References 0 publications

Sun beams on hysterectomies

Sun beams on hysterectomies

Hysterectomy for Uterine Disease in 2010: From past to Future

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