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Laparoscopic Hysterectomy

SOKOL, ANDREW I. MD; GREEN, ISABEL C. MD

Clinical Obstetrics and Gynecology: September 2009 - Volume 52 - Issue 3 - p 304-312
doi: 10.1097/GRF.0b013e3181b0879f
Laparoscopic Surgery

The use of laparoscopy to perform all or part of hysterectomy has become widely accepted, with laparoscopic hysterectomy accounting for up to 15% of all hysterectomies performed in the United States. A recent Cochrane analysis has clearly shown that laparoscopic hysterectomy is associated with decreased length of stay and faster recovery time compared with laparotomy. There is no evidence to support a supracervical hysterectomy over a total hysterectomy in terms of frequency of pelvic support disorders or sexual function. This does not preclude the use of a supracervical hysterectomy in some clinical situations.

Section of Minimally Invasive Surgery, Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Washington Hospital Center, Washington, District of Columbia

Correspondence: Andrew I. Sokol, MD, Division of Female Pelvic Medicine and Reconstructive Surgery, Washington Hospital Center, 106 Irving St. NW, Suite 2100 North P.O.B. Washington, DC. E-mail: asokol72@gmail.com; andrew.i.sokol@medstar.net

© 2009 Lippincott Williams & Wilkins, Inc.