Arnold Advincula's Surgical Techniques

Total laparoscopic versus laparoscopic supracervical hysterectomy

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The pros and cons and surgical distinctions of retaining the cervix


It gives me great pleasure to introduce this month’s surgical video. The following feature presentation was produced by my third-year fellow, Mireille Truong, MD, and my third-year resident, Sarah Horvath, MD. The focus of this surgical video is to compare and contrast total laparoscopic hysterectomy (TLH) with laparoscopic supracervical hysterectomy (LSH). The indication for the TLH case was refractory dysmenorrhea and for the LSH case was as part of a concomitant sacrocervicopexy. The particular methods for specimen removal demonstrated include through the colpotomy for TLH and cold knife manual morcellation within a bag using an Alexis retractor for LSH.

The objectives of this surgical video are to:

  • Highlight the clinical advantages and disadvantages between cervical removal or retention at the time of a minimally invasive laparoscopic hysterectomy
  • Demonstrate the surgical nuances between TLH and LSH
  • Provide a potential resource for patient counseling as well as medical student and resident education.

I encourage you to share this video as an educational resource with your colleagues, residents, students, and patients alike.

Vidyard Video

I hope to see you at the AAGL Global Congress on Minimally Invasive Gynecology in Vancouver, November 17–21, 2014. Visit for more information.
— Dr. Arnold Advincula, AAGL 2014 Scientific Program Chair

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