LAPAROSCOPIC SUPRACERVICAL (SUBTOTAL) HYSTERECTOMY (LASH)

The use of laparoscopically assisted vaginal hysterectomy with or with out annexectomy has been widely discussed. We report the technique of laparoscopic supracervical (subtotal) hysterectomy (LASH), which was f irst performed in 1990. Laparoscopic supracervical hysterectomy was ca rried out in a series of 36 women. The duration time was 60 min in exp erienced hands. There were no major complications. The feasibility and low morbidity rate of this laparoscopic approach led us to propose LA SH in certain indications, particularly in cases of a uterus with mult iple submucosal myomas where hysteroscopic therapy is less successful.