Supracervical Total Hysterectomy

What is supracervical total hysterectomy?


A supracervical total hysterectomy is a partial hysterectomy that removes the upper part of the uterus and leaves the cervix (and ovaries) in place.


Why is a supracervical total hysterectomy performed?


There are several reasons to perform a supracervical total hysterectomy, which considered a minimally invasive procedure and generally features a much shorter period of recovery time compared to a total abdominal or vaginal hysterectomy.


Some reasons to perform the procedure include:


Some surgeons believe that leaving the cervix in place decreases the risk of vaginal prolapse and maintains better sexual function. Occasionally, it is necessary to leave the cervix in place if there is severe scar tissue, such as in endometriosis.

Women who have a large uterus due to fibroids or have had abnormal Pap Smear tests or cervical cancer or any uterine cancer should not have a supracervical total hysterectomy.

What happens in a supracervical total hysterectomy?


A small incision is made in the navel area and carbon dioxide is introduced to lift the abdominal wall and create more space for the procedure. A tube called a trocar is inserted into the incision, and a tiny video camera called a laparoscope is placed in the tube. More small incisions are made to introduce the instruments surgeons use to remove the top part of the uterus. The uterus is separated into small pieces that can be removed through the small skin incisions. In some cases, the ovaries also are removed. By using the laparascopic procedure, recovery times can be limited to several hours or an overnight stay in the hospital.