Removal of the cervix during hysterectomy is not mandatory. There has been no irrefutable evidence so far that total hysterectomy is more beneficial to patients in terms of pelvic organ function. The procedure that leaves the cervix intact is called a subtotal hysterectomy. Traditional approaches to this surgery include laparoscopic and abdominal routes. Vaginal total hysterectomy has been prov...

Laparoscopic-assisted vaginal hysterectomy refers to the use of a laparoscope to allow the performance of hysterectomy through a vaginal means that would have otherwise required an abdominal approach. Laparoscopic supracervical hysterectomy refers to removal of the uterus utilizing a laparoscope but leaving the cervix in place. Laparoscopic myomectomy refers to removal of fibroid tumors from th...

Long-term outcomes, in terms of cervical stump symptoms and overall patient satisfaction, were studied in women both after abdominal (SAH) and laparosocopic (LSH) supracervical hysterectomies. Altogether, 134 women had SAH and 315 women LSH during 2004 and 2005 at our department. The response rate of this retrospective study was 79%. Persistent vaginal bleeding after the surgery was reported by...

The incidence of ectopic pregnancy after hysterectomy is extremely rare with only 56 cases reported in the medical literature. Due to its rare occurrence, this diagnosis may not be initially considered when such a patient presents with abdominopelvic pain. It is an important diagnosis to keep in mind since a delay in diagnosis may lead to death. The case presented below describes this extremely...

Background: Laparoscopic hysterectomy is a well established method, with numerous described variat ions of this technique. The attempt to minimize operati ve ports has led to the descr ipt ion of a “single puncture laparoscopic hysterectomy”. The transumbil ical use of an electromechanical morcellator to faci l itate extraction of the uterus is f irst descr ibed here, in a ser ies of patients h...