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Long term outcome following laparoscopic supracervical hysterectomy

  1. Emeka O. Okaro1,
  2. Kevin D. Jones1,*,
  3. Christopher Sutton1,2,3,4

Article first published online: 22 DEC 2003

DOI: 10.1111/j.1471-0528.2001.00252.x

Issue

BJOG: An International Journal of Obstetrics & Gynaecology

BJOG: An International Journal of Obstetrics & Gynaecology

Volume 108, Issue 10, pages 1017–1020, October 2001

Additional Information

How to Cite

Okaro, E. O., Jones, K. D. and Sutton, C. (2001), Long term outcome following laparoscopic supracervical hysterectomy. BJOG: An International Journal of Obstetrics & Gynaecology, 108: 1017–1020. doi: 10.1111/j.1471-0528.2001.00252.x

Author Information

  1. 1

    Department of Obstetrics and Gynaecology, The Royal Surrey County Hospital, UK

  2. 2

    Department of Gynaecological Surgery, University of Surrey, UK

  3. 3

    Department of Obstetrics and Gynaecology, Chelsea and Westminster Hospital, London, UK

  4. 4

    Imperial College School of Medicine, University of London, UK

**Mr K. Jones, 62 Stoke Road, Guildford, Surrey GU1 4HR, UK

Publication History

  1. Issue published online: 22 DEC 2003
  2. Article first published online: 22 DEC 2003
  3. Accepted 06 June 2001

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Objectives To assess the long term outcome of laparoscopic supracervical hysterectomy.

Design Retrospective study.

Setting Minimal Access Surgical Unit, Department of Gynaecology, Royal Surrey County Hospital, Surrey.

Methods Analysis of patient case records.

Population Seventy consecutive women who had a laparoscopic supracervical hysterectomy.

Outcome measures Symptoms related to the cervical stump and the need for further surgery.

Results The mean time of patient follow up was 66 months (range 52–84). The mean time from initial procedure to second treatment was 14 months (range 3–53). Seventeen women (24.3%) reported symptoms related to the cervical stump, and all required further surgery. The cervical stump was removed in 16 (22.8%). One patient had laparoscopic adhesiolysis only and two had a laparotomy and trachelectomy because the bowel was adherent to the cervical stump. Nine had a laparoscopically assisted cervical trachelectomy as the sole procedure. Five had laser treatment to endometriotic deposits, and laparoscopically assisted cervical trachelectomy. Histological analysis showed normal cervical tissue in six (35.3%). Endometriosis was detected in four cervical stumps (23.5 %), residual endometrium in another four (23.5 %) cases, and chronic cervicitis, mild CIN and a mucocoele in a further three patients. Of the 17 women who reported cervical stump symptoms, 14 (82.3%) had been treated for endometriosis in the past, compared with 17/53 (32%) who did not have symptoms (P<0.0002, χ2 test).

Conclusions Symptoms related to the cervical stump requiring further surgery frequently occur following a laparoscopic supracervical hysterectomy.

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