Which method of hysterectomy is best?
The American Congress of Obstetricians and Gynecologists (ACOG) says the safest, least invasive and most cost-effective way to remove a uterus for non-cancerous reasons is a vaginal hysterectomy, rather than laparoscopic or open surgery.
What is removed in a Supracervical hysterectomy?
Supracervical hysterectomy (SH) is a surgical procedure to remove only the uterus. The cervix and fallopian tubes are not removed. The decision whether or not to remove the fallopian tubes (called bilateral salpingoophorectomy – BSO) and ovaries is a separate decision.
What is the least invasive hysterectomy?
The minimally invasive approaches to hysterectomy are vaginal hysterectomy and laparoscopic hysterectomy. Before discussing these techniques we will briefly describe the abdominal hysterectomy technique. In abdominal hysterectomy, the physician will make an approximately 15 cm incision on the belly.
What is the difference between Supracervical hysterectomy and total hysterectomy?
Total hysterectomy—The uterus and cervix are removed. Supracervical hysterectomy—The upper part of the uterus is removed, but the cervix is left in place.
How is a laparoscopic Supracervical hysterectomy performed?
Your surgeon places a camera (laparoscope) through one small cut to see inside of your abdomen and uses little instruments through the other surgical cuts to do your surgery. The uterus then is removed through one of the small cuts in your belly.
Is it better to leave cervix in with hysterectomy?
Leaving the cervix in place reduces the amount of time the patient is in surgery. While it used to be thought that a supracervical hysterectomy could reduce the likelihood of sexual dysfunction, recent studies have shown that there is no difference in this between total and supracervical hysterectomies.
How is a Supracervical hysterectomy performed?
The surgeon uses the instruments to carefully isolate and detach the uterus from the ligaments and structures in the abdomen. The surgeon then cuts the uterus into small sections. The sections of uterus are carefully pulled out of the body through the incisions in the abdomen.
How long does a Supracervical hysterectomy take?
The cervix can used to support the vagina in some situations. Your physician will discuss your diagnosis with you prior to surgery and it will be documented in your medical record. Expectations of Outcome: A laparoscopic Supra-cervical Hysterectomy typically takes 1-2 hours.
Why do doctors leave the cervix when doing a hysterectomy?
What can I expect after a laparoscopic Supracervical hysterectomy?
Work: Most patients can return to work between 4-6 weeks after surgery. You may continue to feel tired for a couple of weeks. Follow-up with your doctor: You should have a post-operative appointment scheduled with your doctor for 4-6 weeks after surgery.