Laparoscopic supracervical hysterectomy (LSH) may be the surgical solution for many women who have small to medium fibroids, adenomyosis, abnormal bleeding, or endometriosis. Who should consider LSH? Women who have tried less invasive therapies such as endometrial ablation and hormone therapy unsuccessfully are good candidates for laparoscopic supracervical hysterectomy. Why should a woman consider LSH? The procedure can dramatically reduce symptoms that can appear after more radical forms of hysterectomy.
What is a laparoscopic supracervical hysterectomy? This rather new approach to hysterectomy is performed through small incisions in the abdomen. A laparoscope is inserted through the first incision (a thin optical tube that the doctor can use to examine the pelvic cavity). Instruments for cutting the uterus from the blood supply are introduced through subsequent incisions. First the uterus
has been removed from inside the body, it is cut into small strips. The small bands are then pulled out through the previous incisions. LSH leaves the ovaries and cervix intact.
What are the benefits if the ovaries and cervix are not removed as part of a hysterectomy? Leaving the ovaries does not expose a woman to the immediate onset of surgical menopause. In most cases, after a laparoscopic supracervical hysterectomy, menopause occurs naturally and on the same schedule as if a hysterectomy had not taken place. Due to the reduced flow to the ovaries, symptoms of menopause can sometimes appear, associated with a hysterectomy in which the ovaries are not cut. The cervix acts as an important supporting tissue for many pelvic ligaments. The entire area can be destabilized by kidnapping. Also, leaving the cervix can reduce vaginal dryness and decreased sexual desire, which are sometimes side effects of total hysterectomy. Total hysterectomy is an operation that removes both the uterus and the cervix.
Does laparoscopic supracervical hysterectomy pose additional risks beyond traditional hysterectomy? Every hysterectomy is a major traumatic operation that should not be done without a lot of thought. However, LSH as a procedure carries a negligible increased risk compared to conventional hysterectomy procedures. Nevertheless, a woman should be aware that she is still prone to cervical and ovarian cancer after laparoscopic supra cervical hysterectomy.
Therefore, it is imperative that she stays in close contact with her doctor and continues to do all recommended cancer screenings according to the schedule recommended by her doctor.
Hysterectomy has become increasingly controversial in recent years. For women with chronic reproductive diseases, hysterectomy may be the best solution to their problems. People with non-malignant tumors should consider laparoscopic supra cervical hysterectomy as it is much less invasive. LSH also has the potential to prevent many of the symptoms of menopause that can put your head back up after other types of hysterectomy. Only after consulting with your gynecologist can a woman make an informed decision about whether laparoscopic supra-cervical hysterectomy is the appropriate procedure for her specific complaints.