Laparoscopic Supracervical Hysterectomy

Laparoscopic Supracervical Hysterectomy has been gaining in popularity over the past decade, especially with advances in optics and instrumentation. Similar to other minimally invasive approaches, laparoscopic supracervical hysterectomy offers many of the same benefits for both the surgeon and the patient.

And at Ethicon Endo-Surgery, Inc., we continue to improve our current products and develop new ones that make it easier to perform procedures like these with better outcomes. We offer a variety of tools that you may find useful in performing laparoscopic supracervical hysterectomy procedures, including:

ENSEAL® Tissue Sealing Device, best in class bipolar technology for temperature-controlled vessel sealing, is ideal for key vascular structures and adnexal transection. The ENSEAL Tissue Sealing Device minimizes lateral thermal damage (approximately 1mm) while reducing char, smoke and sticking and is indicated for vessels up to 7mm in size.

In concert with ENSEAL Devices, the HARMONIC Laparoscopic Hook and Curve Blades may be used for uterine amputation.

The HARMONIC ACE® Curved Shears and HARMONIC® Laparoscopic Blade use ultrasonic technology to provide precision and efficiency with minimal lateral thermal spread and minimal thermal tissue damage when used for:

  • Adnexal transection.
  • Coagulation and transaction of key vessels (IP, Uterovarion/uterine arteries).
  • Colpotomy creation (laparoscopic blades).

ENDOPATH® XCEL™ Trocar to aid the surgeon by providing:

  • Abdominal Wall Retention – The cannula's integrated thread design provides greater stability and minimal trocar slip-outs.
  • Seal Durability – Maintains abdominal insufflation while accommodating a wide range of instrument sizes (4.7mm to 12.9mm).*
  • Low System Drag Force – The housing and seal are designed to eliminate instrument hang-ups and provide low peak instrument insertion/extraction force.*

LAPRA-TY® Suture Clip uses absorbable clips to close the cuff without the need to tie any knots.

Site References

* Preclinical and bench top testing.1

Looking for procedure videos and specific instruction on our devices? Here are various materials and media for procedures and to explain and walk you through the proper steps for the use of our devices. For the full steps to use of any of our devices, please refer to the package insert.

Downloads

Want to learn more about the benefits of minimally invasive gynecological procedures? Here are a number of clinical studies comparing various minimally invasive hysterectomies and total abdominal hysterectomy in terms of efficacy, quality of life and the bottom line economics.

Johnson N, Barlow D, Lethaby A, et al. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database of Systematic Reviews. 2005(1): CD003677.
PubMed Link

Sarmini OR, Lefholz K, Froeschke HP. A comparison of laparoscopic supracervical hysterectomy and total abdominal hysterectomy outcomes. Journal of Minimally Invasive Gynecology. 2005; 12(2): 121-24.
PubMed Link

Warren L, Ladapo J, Borah B, Gunnarson C. Open abdominal versus laparoscopic and vaginal hysterectomy: analysis of a large United States payer measuring quality and cost of care. Journal of Minimally Invasive Gynecology. 2009; 16(5): 581-8.
PubMed Link