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oa Laparoscopic Supracervical Hysterectomy (L-SH)
- Source: Qatar Medical Journal, Volume 2002, Issue 2, Nov 2002, 8
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- 01 November 2002
Abstract
Laparoscopic supracervical hysterectomy is a viable alternative with putative advantages over the same procedure performed via laparotomy for those individuals requiring uterine extirpation without indication for cervical removal. The laparoscopic approach to this procedure provides even lower morbidity and therefore can enhance clinical outcomes. The risk of subsequent cervical cancer, an uncommon and largely preventable occurrence, may not outweigh the benefits of supracervical hysterectomy, which should be offered as an option for selected patients. Therefore it seems likely that, in a woman with a history of regular screening with negative cytology, there will be a minimal risk of future malignant change in a cervical remnant, even this risk would be reduced to near zero if the transition zone and part or all of the endocervical cana were to be removed.