The benefits of Non-coring technique in Laparoscopic Supracervical Hysterectomy

Kim, J W; Shin, M C; Park, W S; Cho, J H; Lee, C N

Abstract

We suggest the benefits of cervical non-coring technique among the many methods of hysterectomy for benign gynecologic diseases, rather than coring in laparoscopic supracervical hysterectomy (LSH). From Oct. 1992 to Jun. 1996, 300 cases of LSH with coring method and from Mar. 1995 to Jan. 1998, 103 cases with non-coring method have been done in CHA General Hospital, Seoul, Korea and Pundang CHA General Hospital, Seongnam, Korea, and we made a comparative study of two groups. The modified SEMM method of classical intrafascial supracervical hysterectomy (CISH) was used in coring group, and the only LSH was used in non-coring gmup. The pelvic adhesiolysis and salphingo-oophorectomy were done in both groups, if needed, The mean operation time was 104 minutes in non-coring group and 156 minutes in coring poup. The mean hemoglobin loss was 0.92 g/dL in non-coring group and 1.17 g/dL in coring group. During the postoperative follow up period (2-35 months), there was no specific bleeding and no menstruation in non-coring group. In addition, there was no case of abnormal cervical findings. However, very thin spotting or brownish vaginal discharge, which is different from dysfunctional uterine bleeding (DUB), was found in only 15 cases among follow up 74 cases of non-coring group. Although the follow up period is short and non-coring cases are small, our study shows tbat the LSH without coring might be a better and easier alternative hysterectomy method in benign gynecologic diseases.