Laparoscopic Supracervical Hysterectomy for Large Uteri

In recent years removing the uterus laparoscopically has become the method of choice to perform a hysterectomy. A supracervical hysterectomy has been shown to result in better intra operative and postoperative outcomes, although the evidence is less robust when analyzing procedures performed laparoscopically. Notwithstanding the above caveat, as cervical malignancy remains the only absolute contraindication to a supracervical hysterectomy, many of the perceived limitations to the procedure have been eroded. This includes the removal of large uteri, especially those weighing more than 500 g. Advances in endoscopic technology has enabled their removal, but published data on the procedure, the technique and its outcomes remain scarce.