Abstract
Objective
To estimate the incidence of cyclical bleeding after laparoscopic supracervical hysterectomy (LSH) in women with uterine leiomyoma.
Methods
A questionnaire was sent to all patients who underwent LSH during 2007 and 2010 at the Department of Obstetrics & Gynecology, Dankook University Hospital. The questionnaire contained questions about experiences of persistency, regularity and amount of bleeding following surgery.
Results
A total of 94 patients who underwent LSH were sent a questionnaire. Seventy nine patients returned the questionnaire, providing a response rate of 84%. Three patients (3.7%) reported experiencing cyclic vaginal bleeding. All women who experienced persistent and regular periodic bleedings reported the amount of bleeding to be minimal.
References
1. Reich H, DiCaprio J, McGlynn F. Laparoscopic hysterectomy. J Gynecol Surg. 1989. 5:213–216.
2. Liu CY. Laparoscopic hysterectomy. A review of 72 cases. J Reprod Med. 1992. 37:351–354.
3. Johns DA, Diamond MP. Laparoscopically assisted vaginal hysterectomy. J Reprod Med. 1994. 39:424–428.
4. Lieng M, Qvigstad E, Istre O, Langebrekke A, Ballard K. Long-term outcomes following laparoscopic supracervical hysterectomy. BJOG. 2008. 115:1605–1610.
5. Lyons T. Laparoscopic supracervical versus total hysterectomy. J Minim Invasive Gynecol. 2007. 14:275–277.
6. Hilger WS, Pizarro AR, Magrina JF. Removal of the retained cervical stump. Am J Obstet Gynecol. 2005. 193:2117–2121.
7. Zupi E, Zullo F, Marconi D, Sbracia M, Pellicano M, Solima E, et al. Hysteroscopic endometrial resection versus laparoscopic supracervical hysterectomy for menorrhagia: a prospective randomized trial. Am J Obstet Gynecol. 2003. 188:7–12.
8. Okaro EO, Jones KD, Sutton C. Long term outcome following laparoscopic supracervical hysterectomy. BJOG. 2001. 108:1017–1020.
9. van der Stege JG, van Beek JJ. Problems related to the cervical stump at follow-up in laparoscopic supracervical hysterectomy. JSLS. 1999. 3:5–7.
10. Benrubi GI. History of hysterectomy. J Fla Med Assoc. 1988. 75:533–538.
11. Vara P, Kinnunen O. Total versus subtotal abdominal hysterectomy. Acta Obstet Gynecol Scand Suppl. 1951. 31:1–43.
12. Lyons TL. Laparoscopic supracervical hysterectomy. Obstet Gynecol Clin North Am. 2000. 27:441–450.
13. Semm K. Hysterectomy via laparotomy or pelviscopy. A new CASH method without colpotomy. Geburtshilfe Frauenheilkd. 1991. 51:996–1003.
14. Lyons TL. Laparoscopic supracervical hysterectomy. Baillieres Clin Obstet Gynaecol. 1997. 11:167–179.
15. Kilkku P, Grönroos M. Peroperative electrocoagulation of endocervical mucosa and later carcinoma of the cervical stump. Acta Obstet Gynecol Scand. 1982. 61:265–267.
16. Scott JR, Sharp HT, Dodson MK, Norton PA, Warner HR. Subtotal hysterectomy in modern gynecology: a decision analysis. Am J Obstet Gynecol. 1997. 176:1186–1191.
17. Fox J, Remington P, Layde P, Klein G. The effect of hysterectomy on the risk of an abnormal screening Papanicolaou test result. Am J Obstet Gynecol. 1999. 180:1104–1109.
18. Donnez I, Nisolle M, Smets M, Polet R, Bassil S. Laparoscopic supracervical (subtotal) hysterectomy: a first series of 500 cases. Gynaecal Endosc. 1997. 6:73–76.
19. Munro MG. Supracervical hysterectomy: ... a time for reappraisal. Obstet Gynecol. 1997. 89:133–139.
20. Jenkins TR. Laparoscopic supracervical hysterectomy. Am J Obstet Gynecol. 2004. 191:1875–1884.
21. Falcone T, Walters MD. Hysterectomy for benign disease. Obstet Gynecol. 2008. 111:753–767.
22. Ghomi A, Hantes J, Lotze EC. Incidence of cyclical bleeding after laparoscopic supracervical hysterectomy. J Minim Invasive Gynecol. 2005. 12:201–205.
23. Maina WC, Morris EP. Management of women requesting subtotal hysterectomy. Menopause Int. 2010. 16:152–155.
24. Nisolle M, Donnez J. Subtotal hysterectomy in patients with endometriosis--an option. Fertil Steril. 1997. 67:1185–1187.