Laparoscopic trachelectomy for persistent pelvic pain and endometriosis after supracervical hysterectomy.
OBJECTIVE
To discuss the safety of laparoscopic removal of the cervical stump after supracervical hysterectomy.


METHODS
Retrospective review of six cases.


METHODS
Center for Special Pelvic Surgery, a tertiary referral center.


METHODS
Between August 1993 and December 1995, six patients underwent laparoscopic removal of the cervical stump. Their mean age was 43.1 years (range 32 to 56 years). All women had pelvic pain, and one had abnormal bleeding. Three patients had histories of severe endometriosis only, one had extensive endometriosis with adhesions, one had severe adhesions and leiomyomas, and one had all three conditions at hysterectomy.


METHODS
Laparoscopic trachelectomy.


METHODS
Laparoscopic findings and intraoperative and postoperative complications.


RESULTS
The mean blood loss was 100 mL (range 50 to 200 mL). There were no major intraoperative or postoperative complications.


CONCLUSIONS
Cervical stump removal can be accomplished laparoscopically by an experienced surgeon.
Nezhat
C H
CH
Department of Gynecology and Obstetrics, Stanford University School of Medicine, California, USA.
Nezhat
F
F
Roemisch
M
M
Seidman
D S
DS
Nezhat
C
C
D000328:Adult; D002584:Cervix Uteri / Q000473:pathology / Q000601:surgery*; D004715:Endometriosis / Q000601:surgery*; D005260:Female; D006801:Humans; D007044:Hysterectomy; D010535:Laparoscopy; D008875:Middle Aged; D017699:Pelvic Pain / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation; D012189:Retrospective Studies; D016896:Treatment Outcome