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A total hysterectomy means that the uterus and cervix (the piece of the uterus that stabilizes the uterus by attaching to large ligaments in the pelvis and extends into the vagina) are removed.
A Laparoscopic Total Hysterectomy is similar to a Laparoscopic Supracervical Hysterectomy, but it involves removing the uterus and cervix.
The laparoscopic total hysterectomy removes the uterus and cervix intact, without morcellating unless the uterus is very large. It is similar to the supracervical hysterectomy except that instead of morcellating the uterus and removing it through the umbilical incision, the uterus and cervix are removed through the vagina. This leaves the vagina open to the abdominal cavity, and it is closed by suturing the apex of the vagina with a series of "figure of 8" sutures placed with laparoscopic instruments. Permanent sutures are then placed in the uterosacral ligaments to support the vaginal apex so that it will not fall, or prolapse, at a later date.
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You are here : Home / Laparoscopy / Total Laparoscopic Hysterectomy
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