Complications in Laparoscopic Supracervical Hysterectomy(LASH), especially the morcellation related

Harald Krentel, H Krentel, Krentel H, De Wilde RL, R L De Wilde, Rudy Leon De Wilde
Best practice & research. Clinical obstetrics & gynaecology · 2015 · vol. 35 , pp. 44–50 · doi:10.1016/j.bpobgyn.2015.11.001 · PMID:26694587 · W2197371118
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This paper examines complications during laparoscopic supracervical hysterectomy (LASH), with a specific focus on those related to tissue morcellation.

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Abstract

Laparoscopic supracervical hysterectomy (LASH) is an alternative minimally invasive approach to total laparoscopic hysterectomy or laparoscopically assisted vaginal hysterectomy. It is a safe and effective treatment of bleeding disorders and dysmenorrhoea in uterine myomatosis and/or adenomyosis. LASH has a low rate of major and minor complications, and patient satisfaction is very high. In order to extract the transected tissue from the abdomen, one essential condition for LASH is the intra-abdominal disruption of the uterine tissue by transabdominal, transcervical or transvaginal morcellation. In the following, complications in LASH, especially those related to electronic power morcellation, are described evaluating the recent literature.

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MeSH descriptors

Hysterectomy Hysterectomy Morcellation Neoplasm Seeding Uterine Neoplasms Contraindications Female Humans Hysterectomy Intestines Intestines Intraoperative Complications Intraoperative Complications Laparoscopy Laparoscopy Morcellation Patient Satisfaction Postoperative Complications Postoperative Complications Urinary Tract

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