title: Laparoscopic supracervical hysterectomy with a new disposable morcellator.
abstract: Laparoscopic supracervical hysterectomy (LSH) can be performed more easily with a powered morcellator for removal of the uterus. Available laparoscopic morcellators are expensive and may be difficult to use, but a new, powered, disposable instrument was developed (Diva; FemRx, Sunnyvale, CA) to morcellate the entire uterus for easy removal through a 15-mm cannula. Twelve consecutive women for whom subtotal hysterectomy was indicated underwent LSH by standard laparoscopic protocol and were monitored postoperatively for a minimum of 1 month. In the current trend of "less is more," LSH is an emerging option for less extensive hysterectomies and can be made more cost and time effective with a single-use powered morcellator.
authors.affiliation: California Center for Pelvic Pain, Palo Alto, CA 94304, USA.
authors.forename: A J
authors.initials: AJ
authors.lastname: Kresch
authors.forename: T L
authors.initials: TL
authors.lastname: Lyons
authors.forename: A B
authors.initials: AB
authors.lastname: Westland
authors.forename: W K
authors.initials: WK
authors.lastname: Winer
authors.forename: G M
authors.initials: GM
authors.lastname: Savage
mesh_terms: D000328:Adult; D002584:Cervix Uteri / Q000601:surgery*; D003365:Costs and Cost Analysis; D004867:Equipment Design; D004869:Equipment Safety; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000295:instrumentation* / Q000379:methods; D020706:Laparoscopes; D010535:Laparoscopy / Q000379:methods; D018231:Leiomyomatosis / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D013523:Surgical Equipment / Q000191:economics; D016896:Treatment Outcome; D014463:Ultrasonography; D014594:Uterine Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*