CHAPTER 27

Supracervical Laparoscopic Hysterectomy

Supracervical laparoscopic hysterectomy is the removal of the uterus without the cervix through a laparoscope.

Possible equipment needed for the procedure includes a laparoscope, a Harmonic scalpel, an electrosurgical unit, a morcellator, a generator and foot pedal, a Gimpelson tenaculum, and minor laparoscopic instruments.

A brief description of the procedure follows:

1. The laparoscope is inserted in the usual manner.

2. The Gimpelson tenaculum is used to grasp the uterus.

3. The Harmonic scalpel is used to dissect and cauterize the uterine ligaments and vessels.

4. The Harmonic scalpel is used to transect and cauterize the uterus above the cervix.

5. The morcellator is inserted through another port.

6. The morcellator is used to shave the uterus into pieces so it may be removed.

7. A heavy grasper is inserted through the morcellator to remove the uterine tissue fragments.

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