Laparoscopic Supracervical Hysterectomy
Let us first translate "laparoscopic supracervical hysterectomy"
from Latin. It still is a hysterectomy, and if
you choose this, your uterus will be removed. There are then two
major differences as compared to the usual, abdominal hysterectomy.
The body of the uterus will be removed, but the cervix will remain
in the body.
Laparoscopic means it is done with special
surgical instruments, practicaly with no visible scars, and certainly
with no incisions on the stomach.
Supracervical can be roughly translated
as "above the cervix", since only those parts of the
uterus are cut away.
This procedure is available since 1996, and has spread in North
America in the years after that. It requires a very well informed
and trained gynecological surgeon, with all the new equipment available
to him or her. This is one of the weaknesses of this method: the
number and availability of such surgeons is too small for the needs,
so it isn't uncommon to find such surgeons over the Internet and
fly over half of a contintent or over half a world just in order
to get operated the proper way for your gynecological problems.
Who is the Candidate For Laparoscopic Supracervical Hysterectomy?
Practically anyone with a diseased uterus and helthy cervix. This
may mean the usual suspects such as uterine fibroids, endometriosis
etc. but it is important to be clear that the cervix is not in danger,
in other words, that there is no cancer. Also, there should be no
prolapse of uterus.
If the fibroids are large enough, you may not be eligible for
the procedure, but the doctor may be able to put you on a GnRH agonist
in order to shrink the fibroids temporarily. Lupron
is usually given in such situations, although it has its share of
problems for the patient, who will suddenly be slammed into a temporarily
The Consequences of Laparoscopic Supracervical Hysterectomy
The patient wakes from general anesthesia and remains for one night
in the hospital. In general, they go home the next day and usually
get well enough within a week. There is not much pain at all, and
many patients do not need any medication for pain. (There is no
pain since there is no large incision which would require days and
weeks to recover and grow up again.)
Since laparoscopy requires carbondioxide in order to make room
for the instruments within the body, the remaining gas accumulates
and produces pain. Often, it will be under the right diaphragm and
will feel like right shoulder pain. The incisions may feel sore
for a few days but that will pass too. You may be required to revisit
the facility one week after the surgery, for surgeons to see your
overall progress in recovery.
Economic Benefits of Laparoscopic Supracervical Hysterectomy
Generally, all patients get back to their normal lives a week or
two weeks at most after the surgery. Some even play tennis a month
after such hysterectomy! This is very significant, because in laparoscopically
assisted vaginal hysterectomy the recovery period is 28 days, not
to mention the classical hysterectomy, with its usual recovery period
of 28 days in the least, up to 42 days at the most.
Apart from the obvious benefit to the patients, this can cut the
costs significantly, say from more than $9200 to a half, about more
than $4300. With the number of hysterectomies performed every day
all over the world, the savings just grow astronomically.
Medical Benefits of Laparoscopic Supracervical Hysterectomy
This type of hysterectomy leaves the cervix in place, with the
following significant benefits:
Only two weeks are needed for recovery.
||The intercourse can be resumed much sooner, sometimes weeks sooner than with other methods of hysterectomy.
||The presence of cervix with its glands eliminates the most frequent problem after a hysterectomy: dryness of vagina.
||The loss of blood with laparoscopic supracervical hysterectomy is much less as compared to other types of hysterectomy.
||The cervix remains there to support the pelvic floor, which in future should decrease the risk of vaginal prolapse.
||There is an abundance of nerves through the cervix, which should enhance the sexual pleasure after the surgery.
Problems and Risks with Laparoscopic Supracervical Hysterectomy
If the cervix is there, it can be attacked. The main problem seems
to be cervical cancer, although in reality 0.1% of women will have
it. That is why annual Pap smears are strongly recommended.
In a small number of cases, the surgeon will have to convert the
laparoscopy into a full hysterectomy during the surgery. There is
nothing you can do about since you will be under anesthesia, but
try to discuss the probability of such occasions beforehand. In
particular, ask the surgeon about his conversion rates -- about
1% or so is very good, anything larger is a cause for an alarm on
If you are a good candidate, ask your surgeon about it. He or she
may not be in position to deliver this type of hysterectomy to you,
so you may be forced to ask around or research the Internet further.
Or, as is the motto of this site, you can make your personal healing
plan and thus avoid hysterectomy in
the first place.
Laparoscopic Supracervical Hysterectomy to the home page of www.How-To-Avoid-Hysterectomy.com.