Endoscopy surgery Excised Endometriosis Recent release of an Egg Uterine Fibroid

  >  John P.A. George, M.D., Director, Gynecologic Endoscopy, Washington Hospital Center, Washington, DC
 
 
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Gynecologic Endoscopy
Laparoscopy and Hysteroscopy / Normal and Abnormal Female Anatomy

Supracervical Hysterectomy

    I first separate the upper structures and the blood supply from the corpus.   I first separate the upper structures and the blood supply from the corpus.
I first separate the upper structures and the blood supply from the corpus (body of the uterus)
similar to the total hysterectomy. I then cut the corpus away  from the cervix. The metal
dilator was placed through the vagina into the cervix at the beginning of the operation.


I “cook” the tissue in the inner lining of the cervix.   I “cook” the tissue in the inner lining of the cervix.
I “cook” the tissue in the inner lining of the cervix to help prevent
 later spotting and bleeding at the time when menses would occur.


To minimize risk of later pregnancy, I suture the cervix closed.   To minimize risk of later pregnancy, I suture the cervix closed.
To minimize risk of later pregnancy, I suture the cervix closed.
 

I then suture the pelvic peritoneum.
I then suture the pelvic peritoneum over the
 cervix and preserve both tubes and ovaries.


Bandaids are placed over the incisions.
Bandaids are placed over the incisions. The patient
is discharged home the morning after surgery.
 
 

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