The treatment of cervical stump after laparoscopic intrathecal hysterectomy

Objective:To discuss the treatment of cervical stump after laparoscopic intrathecal hysterectomy.Methods:Two hundred and fifty-four patients,who underwent laparoscopic intrathecal hysterectomy due to gynecological benign lesions in People's hospital of Hanzhong City from Feb.2003 to Jan.2008,were randomly divided into control group and study groups Ⅰ,Ⅱ,Ⅲ.The control group included 63 patients who were treated by Semm cervical suture,the study group Ⅰ included 62 cases who were treated by internal congealing stick,the study group Ⅱ was packing group which included 64 cases treated by oil gauze,the study group Ⅲ was suturing group which included 65 cases treated by improved cervical sutures.Then,the amount of vaginal bleeding,the time of cervical processing,the amount and time of vaginal bleeding after operation,the average hospital stay,postoperative complications and follow-up situation were compared among the four groups of patients.Results:The time of cervical processing and postoperative complications of control group were significantly different from study groups(P0.01).Conclusions:The four kinds of methods are all suitable for laparoscopic intrathecal hysterectomy.But the Semm cervical suture needs more time,and has more postoperative complications.While the three study groups have advantages of simple operating,shorter surgery time,and less postoperative complications,which are favorable for carrying on gynecologic minimally invasive surgery.