Information
What is laparoscopic supracervical hysterectomy?
Laparoscopic supracervical hysterectomy generally involves removal of the uterus using instruments that enter through four small openings in the abdominal wall. Removal of the ovaries and tubes is usually not necessary. The cervix is preserved, provided the absence of pathological changes in it has been confirmed, using diagnostic methods such as Pap smear, colposcopy, and, if necessary, biopsy.
In what cases is this type of surgery applied?
The method is extremely effective for the treatment of a number of gynecological diseases, such as uterine fibroid disease, adenomyosis, and confirmed benign proliferation of the uterine lining with recurrent abnormal uterine bleeding.
How does the operation proceed?
The operation is performed under general anesthesia. Several small openings are made in the abdominal wall (about 0.5-1 cm), with an optical device connected to a camera inserted through one of these openings, allowing the operators to monitor the course of the operation in detail on a screen. Thanks to this, surgeons have ideal visibility, allowing them to work more precisely without traumatizing the surrounding tissues. The uterus is removed by taking it out through one of these small openings. The ovaries, fallopian tubes, and cervix are preserved, as long as there are no contraindications for this.
What are the advantages of the laparoscopic method compared to classical open surgery?
The laparoscopic surgical method is minimally invasive, which means that bleeding during the operation is minimized, tissue trauma is minimal, and recovery after the intervention is much faster compared to classical open surgery. Nevertheless, in rare cases, complications during laparoscopic surgery are possible, requiring conversion to open surgery with an abdominal incision. In this case, the postoperative hospital stay of the patients is extended by 1-2 days, and their recovery takes a little longer.
How do patients recover after the operation?
The hospital stay is 1 to 2 days. Usually, the medical team mobilizes the patient early after the operation in order to speed up her recovery. During the first few weeks, women should take light walks, gradually increasing the time and distance, while avoiding intense physical activity and lifting heavy objects. Within 4 to 6 weeks after the operation, a follow-up examination is usually conducted to assess the patient's condition and the pace at which her body is recovering. Usually, after this period, patients are ready to return to their normal daily life.
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