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Surgical Innovation
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*Hysterectomy
*Uterine Cancer
*Uterine Fibroids
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Individual Physician Experience With Laparoscopic Supracervical Hysterectomy in a Single Outpatient Setting

Stephanie N. McClellan, MD

Newport Beach, California

Beth Hamilton, MD

Newport Beach, California

Mark A. Rettenmaier, MD

Gynecologic Oncology Associates, Hoag Memorial Hospital Cancer Center, Newport Beach, California

Katrina Lopez

Gynecologic Oncology Associates, Hoag Memorial Hospital Cancer Center, Newport Beach, California

Cameron R. John, PhD

Department of Behavioral Sciences, Utah Valley State College, Orem

Jim C. Hu, MD

Division of Urology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts

Bram H. Goldstein, PhD

Gynecologic Oncology Associates, Hoag Memorial Hospital Cancer Center, Newport Beach, California, bram{at}gynoncology.com

The authors report the surgical experience of a single physician operating at 1 outpatient surgery center using laparoscopic supracervical hysterectomy for the treatment of 100 patients with benign gynecologic disease. Operative status was evaluated in terms of patient morbidity, length of surgery, blood loss, and duration of hospital stay. The mean operative time was 2.6 hours, and the mean anesthesia time was 3.2 hours. The mean estimated blood loss was 116.6 mL, and the mean patient hospital stay was 16.5 hours. There were no reported intraoperative or postoperative complications. Laparoscopic supracervical hysterectomy was not feasible and was converted to laparotomy and total abdominal hysterectomy in 4 patients. The authors present one of the first individual physician experiences at a single outpatient surgery center using laparoscopic supracervical hysterectomy for benign gynecologic conditions. Optimal patient postoperative stay and a minimal complication rate suggest that this procedure performed at a single outpatient surgery center is feasible.

Key Words: laparoscopic supracervical hysterectomy • gynecologic surgery • complications

Surgical Innovation, Vol. 14, No. 2, 102-106 (2007)
DOI: 10.1177/1553350607303785
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