Laparoscopic Supracervical Hysterectomy Video
This laparoscopic supracervical hysterectomy video shows a successful
outcome for Melanie Parker, who was "up and running" only
two weeks after the laparoscopic supracervical hysterectomy. She
had fibroids in an enlarged uterus, lots of cramping, heavy bleeding,
always had to to be near the bathroom... a severly diminished
lifestyle!
The surgeons made a tiny incision and entered laparoscopic instruments
to be able to see the inside organs. The surgeons very delicately
worked around surrounding organs, separating the bladder, lifting
up the uterus, separating the ovaries and the Fallopian tubes,
and the cervix. Having cut out the blood supply, the only thing
that remained to be done is to take the uterus out. In the very
end, they used an instrument called the morcellator to take out
the uterus (the procedure itself is called morcellation). The morcellator is a hollow tube with blades in the end. It cuts
the uterus into long, thin stripes, and that is how the uterus,
even when it is five times bigger than its normal size, can be
taken out through a 1.5 cm excision.
One of the advantages of laparoscopic surgery is that incisions
are smaller, and are closed with a glue; in contrast to that,
classical open stomach hysterectomy is centimeres larger and closed
with staples. Also, the cervix is preserved ("supracervical" can
be roughly translated as "above the cervix", since only
those parts of the uterus are cut away), which will later prevent
the vagina from prolapsing and will enable better sex, or no pain
during penetration throughout the intercourse.
Laparoscopic hysterectomy is fast becoming the de
facto standard
way of performing a hysterectomy, unles the woman has a bigger
problem, such as cancer.
The surgeons in this laparoscopic supracervical hysterectomy video
were David Kmak M.D. and Paul Makela M.D. of WSU School of Medicine,
filmed at Hutzel's Woman Hospital.
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