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Re: supracervical hysterectomy and morcellatorFrom: Laurie Lovely, M.D. (anonymous@obgyn.net)Sun, 22 Feb 1998 15:15:15 -0600 (CST)
At Sun, 22 Feb 1998, Robin wrote: > >I have a large [22 week] fibroid uterus. Dr. Mark Adelman of Syracuse, >N.Y. proposes to do a laparascopic hysterectomy using a morcellator. I >asked about a supracervical hysterectomy [leaving the cervix in]. Any >recommendations about whether or not to leave the cervix? What >risks/benefits. I am 45, already perimenopausal, no children and no >desire for any. > >-- >Robin Masson Hello Robin, I don't perform this procedure myself, but from reading about it, I understand that the benefits of leaving the cervix intact includ (1) possibly better pelvic support post-op and (2) enables the entire procedure to be completed laparoscopically, which usually gives quicker recovery. The disadvantage lies in the potential for cervical cancer development, which means that you would still have to go for your yearly Pap smear for screening. If you have had normal Paps every year, your risk of cervical cancer should be low at this point. Good luck with your surgery.
-- Laurie Lovely, MD RE fellow, UNC-Chapel Hill
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