title: Laparoscopic supracervical hysterectomy with transcervical morcellation: our experience.
abstract: OBJECTIVE
  To present our experience with laparoscopic supracervical hysterectomy with transcervical morcellation (LSH-TM).
  
  
  METHODS
  A retrospective observational study (Canadian Task Force Classification III).
  
  
  METHODS
  Gynecologic Department at Brunico Hospital, Brunico, Italy.
  
  
  METHODS
  Three hundred sixty-five patients affected by gynecologic benign diseases who underwent LSH-TM.
  
  
  METHODS
  A minimally invasive surgical technique for supracervical hysterectomy that involves extraction of the morcellated uterus through the cervical canal.
  
  
  RESULTS
  We performed LSH-TM successfully in 365 patients; the mean (standard deviation) operating time was 72.24 (23.21) minutes. We registered no intraoperative complications. The main postoperative complications resulted in 2 cases of second-look laparoscopy because of internal bleeding, 5 cases of asymptomatic hematoma around the cervical stump, and 7 cases of pelvic pain.
  
  
  CONCLUSIONS
  Our experience shows that LSH-TM is a safe and easy to perform technique and that it ensures minimal blood loss.
authors.affiliation: Department of Morphology Surgery and Experimental Medicine, Section of Obstetrics and Gynaecology, University of Ferrara, Ferrara, Italy.
authors.forename: Angela
authors.initials: A
authors.lastname: Graziano
authors.affiliation: Department of Morphology Surgery and Experimental Medicine, Section of Obstetrics and Gynaecology, University of Ferrara, Ferrara, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Lo Monte
authors.affiliation: Department of Gynaecology and Obstetrics, Centre of Human Reproduction and Cryoconservation of Gametes, Brunico Hospital, Brunico, Italy.
authors.forename: Herbert
authors.initials: H
authors.lastname: Hanni
authors.affiliation: Department of Gynaecology and Obstetrics, Centre of Human Reproduction and Cryoconservation of Gametes, Brunico Hospital, Brunico, Italy.
authors.forename: Johann Georg
authors.initials: JG
authors.lastname: Brugger
authors.affiliation: Department of Gynaecology and Obstetrics, Centre of Human Reproduction and Cryoconservation of Gametes, Brunico Hospital, Brunico, Italy.
authors.forename: Bruno
authors.initials: B
authors.lastname: Engl
authors.affiliation: Department of Morphology Surgery and Experimental Medicine, Section of Obstetrics and Gynaecology, University of Ferrara, Ferrara, Italy. Electronic address: Roberto.marci@unife.it.
authors.forename: Roberto
authors.initials: R
authors.lastname: Marci
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000379:methods*; D007558:Italy; D010535:Laparoscopy; D008875:Middle Aged; D061646:Operative Time; D010149:Postoperative Pain / Q000209:etiology / Q000517:prevention & control; D017699:Pelvic Pain / Q000601:surgery*; D019106:Postoperative Hemorrhage / Q000209:etiology / Q000517:prevention & control; D012189:Retrospective Studies; D016896:Treatment Outcome; D014591:Uterine Diseases / Q000503:physiopathology / Q000601:surgery*; D014599:Uterus / Q000503:physiopathology / Q000601:surgery*
keywords: Adenomyosis; Gynecologic benign diseases; Laparoscopy; Myomas; Supracervical hysterectomy; Transcervical morcellation