ABSTRACT
To compare laparoscopic supracervical hysterectomy [LSH] with laparoscopically assisted vaginal hysterectomy [LAVH] in terms of indications, pathology, length. and weight of removed uteri, operative time, intraoperative blood loss, intra- and postoperative complications, later on sexual function. Cohort retrospective analysis of consecutive cases [Canadian task force II-3]. Hutzel Hospital, Detroit Medical Center, Wane State University USA, Vert-Pre Nouvelle Clinique, Geneva, Switzerland and Benha University Hospitals, Egypt. Hundred thirty-six: patients underwent LAVH and hundred twenty-three underwent LSH. Our patients in both groups were matching regarding age, indications, and pathology of the removed uteri. Blood loss with LSH was significantly lower than it was in LAVH [mean, 125 +/- 5 vs 149 +/- 7ml. P=0.001]. Patients underwent LSH had significantly shorter operating times [mean. 120 +/- 3 vs 150 +/- 5 min. p = 0.007]. The length of the removed uteri was 14.2 +/- 0.5 cm [range. 5.2-18] in LSH versus 11.8 +/- 0.4cm [5.6-14] in LAVH. Weight of the removed uteri was 280 +/- 6 gm [range. 65-750] in LSH compared to 235 +/- 8gm [range, 59-560] in LAVH group. There was no difference regarding the days of hospital stay in both groups. The number of complicated cases was less in LSH group 3/123 [2.4%] compared to 5/ 136 [3.7%] in LAVH group. Later on sexual function was better in LSH group. After exclusion of preoperative cervical disease LSH can be considered as a safer alternative to LAVH in patients candidates for laparoscopic hysterectomy