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Laparoscopic supracervical hysterectomy (LSH) is a surgical procedure that involves the removal of the uterus while preserving the cervix. This technique is specifically indicated for patients with a uterus weighing 250 grams or less. LSH is considered a minimally invasive alternative to the traditional total abdominal hysterectomy, offering several advantages. By retaining the cervix and its associated ligaments, LSH helps maintain pelvic support, which can reduce the risk of pelvic organ prolapse. Additionally, this preservation contributes to the maintenance of sexual function, as the cervix and its secretory glands are left intact. It is important to note that LSH is not suitable for patients diagnosed with cancer or those who have a history of precancerous cervical conditions. The procedure utilizes a retractor placed vaginally into the cervix to facilitate visualization and manipulation of the uterus. Through small incisions in the abdomen, laparoscopic instruments are introduced, allowing for the careful dissection and removal of the uterus while minimizing recovery time and postoperative complications.
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