Supra-Cervical Laparoscopic Hysterectomy (SCLH) vs. Total Laparoscopic Hysterectomy (LH): A Comparative Post-Operative Study

One hundred women without cervical lesions underwent hysterectomies for uterine myomas or menometrorrhagia unresponsive to medical therapy after being randomized into two groups (50 for LH and 50 for SCLH), uterine fundal measurements were 6 to 10 cm in greatest diameter. We evaluated operating time, blood loss, the postoperative incidence of nausea and emesis, the need for analgesics, and resumption of oral tolerance and ambulation. Using the Student t Test, a clinically statistically significant improvement was noted in the quality of the postoperative period in women undergoing SCLH as compared with those undergoing LH. Patients undergoing SCLH reported feeling 'less castrate' than those undergoing traditional total LH.