Laparoscopic supracervical hysterectomy with Filshie clips

We conducted a retrospective study to evaluate the efficacy of Filshie clip s for pedicle ligation during laparoscopic subtotal hysterectomy. The proce dure was a combination of endoscopic stapling with lateral movement of the cartridge to the infundibulopelvic or ovarian ligaments, Filshie clips to u terine arteries, cutting diathermy to transect the cervix, and motorized mo rcellator to remove the uterine body. Two patients had postoperative spotti ng from the stump. Median return to home activity was 7.5 weeks (range 2-24 wks) and to work was 9.5 weeks (range 2-12 wks). Based on a questionnaire survey, all 12 women were satisfied with the operation. In those who were s exually active it was associated with improved sexual functioning in six an d no change in four.