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May 2013 JMIG Cover

JOURNAL SPOTLIGHT: Laparoscopic Supracervical Hysterectomy Performed With and Without Excision of the Endocervix: A Randomized Controlled Trial

Authors: Espen Berner, Erik Qvigstad, Anton Langebrekke, Marit Lieng
Citation: The Journal of Minimally Invasive Gynecology, Volume 20, Issue 3, Page 368-375
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Abstract: Study Objective: To compare the occurrence of vaginal bleeding and patient satisfaction 12 months after laparoscopic supracervical hysterectomy performed with and without excision of the endocervix.Design: A prospective, randomized, controlled trial.Design Classification: Canadian Task Force Classification I.Setting: Norwegian university teaching hospital.Patients: One hundred forty consecutive premenopausal women referred for hysterectomy on the basis of a benign condition.Interventions: The study participants were randomized to standard laparoscopic supracervical hysterectomy (n = 70) or laparoscopic supracervical hysterectomy with excision of the endocervix in a reverse cone pattern (n = 70).Measurements and Main Results: The main outcome measures were the occurrence of vaginal bleeding and patient satisfaction 12 months after the procedure. One hundred thirty women (92.3%) were followed up according to the study protocol. In total, 43 women (33.1%) reported bleeding episodes during the first 12 months after the laparoscopic supracervical hysterectomy; 22 (16.9 %) of these women had cyclic bleeding. All reported bleeding episodes were minimal.

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