Hystérectomie Supracervicale par Laparoscopie : Déjà Vu?

Abstract

Objectives: describe a technique of laparoscopic supracervical hysterectomy, and to compare its morbidity to that of total abdominal hysterectomy.Methods: records of patients selected for laparoscopie supracervical hysterectomy were studied retrospectively to compare their morbidity with that of randomly chosen patients fulfilling the same eligibility criteria where total abdominal hysterectomy was performed.Results: the group with laparoscopic supracervical hysterectomy was associated with a shorter hospital stay and less morbidity than the group with total abdominal hysterectomy. However, the laparoscopie technique required a much longer operating time. No difference was noted in the haemoglobin levels between the two groups.Conclusion: laparoscopic supracervical hysterectomy seems to be a safe and efficient alternative for most benign uterine pathologies and deserves to be further evaluated by prospective randmnized trials. However, compliance for gynaecological cancer screening is a prerequisite.