Clinical analysis of laparoscopic classical intrafascial supracervical hysterectomy

Objective To summarize the experiences of laparoscopic classical intrafascial supracervical hysterectomy(CISH) in 104 cases within 3 years,and to appraise its safety and feasibility. Methods 104 cases had laparoscopic diagnosis and CISH because of presence of myomas, adenomyosis,functional uterine bleeding or endometriosis.Pathological examination,B ultrasound,colposcopy were used for follow up to see the cervical stump healing,presence or absence of hematocele or hematoma and the long-term changes. Results In all cases,the squamous-columnar junction were intact with absence of severe bleeding and trauma to ureter or bowel and(no cervical) stump hematocele.No glandular epithelium or pathological cervical lesions were revealed under vaginoscope. Conclusions CISH is safe in adenomyosis patients with absence of severe pelvic adhesion.