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LASH – Laparascopic Supracervical Hysterectomy

Laparoscopic Supracervical Hysterectomy (LSH) is a much less invasive procedure than either abdominal or vaginal hysterectomy that leaves the cervix and its mucous glands in place thus avoiding vaginal dryness which can be one of the most common complaints that women have post hysterectomy. It is thought that the cervix may play a more significant part in women’s experiences of orgasm and sex post hysterectomy than had previously been thought.

Laparascopic supracervical hysterectomy is performed by doing much of the surgical procedure via three cuts in the abdomen, including one in the belly button and two on either side of it. During the operation surgical instruments and cameras are placed in the abdominal cavity thus allowing the surgeon to view what is being done. This allows the surgeon to detach the uterus from the internal musculature and from the cervix as well, they are then able to remove it through the small incisions made in the abdomen.

Due to it’s minimally invasive nature, recovery is quicker than for an abdominal procedure but maybe not as quick as for a vaginal hysterectomy. However, there are few surgeons available that have been trained in this procedure and it may not be suitable for all women so a discussion needs to take place with your gynaecologist.

28 thoughts on “LASH – Laparascopic Supracervical Hysterectomy

  1. hi all im looking for advise im 32 and having to have this procedure done as they cant control my bleeding (which is at flooding point for atleast 3 weeks of every month.

    what do i need to take in with my after the operation im having it done on monday 30th November?

  2. Dear All

    There are lots of benefits for LASH over other types of Laparoscopic hysterectomies. LASH should be considered as the least invasive form of any kind of hysterectomy including total Laparoscopic hysterectomies (TLH) and Assisted vaginal hysterectomies (LAVH).
    It is considered to be a “day care” procedure and women can go home on the same day or on the following day.
    It definitely requires an advanced laparoscopic surgeon to perform it and I have actually been performing this procedure since 2007/2008 over eight years both at the NHS and Privately.
    I would recommended to all women with adenomyosis, endometriosis, fibroids, and the rest of women with benign disease requiring hysterectomy.
    I would not recommended it if the indication for the hysterectomy is endometrial cancer or when if there was previous abnormal cervical smear within the past 10 years,
    Women who would have LASH will need to continue with their cervical smears.
    BW
    Mr Kamal Shehata-Iskander, Consultant Laparoscopic Surgeon

  3. Hi,
    I’d like to share my experience here as I too have just had this type of hysterectomy and, if a suitably experienced surgeon can be found, I would highly recommend it.
    I’m an Englishwoman living in Oregon, USA, so some aspects of experience will be slightly different; if anything I had too many surgeons to choose from as I live in a city with a number of large medical facilities, but finding someone I trusted and who was right for the job was crucial. The reduced recovery time was a huge influence on my decision to have the laprascopic surgery, with robot assist, rather than by a more traditional transverse incision. My personal physiology meant I had to have the uterus etc removed through an small incision on my mid-line rather than vaginally, which further reduced the pool of surgeons available to me, but I found that once I was on the books with one surgeon she was happy to refer me to a college who was more experienced in the type of surgery I required. This cross-referral is also something I’ve come across with the NHS in London.
    It has now been eight days since my procedure and I feel very good. I was discharged from hospital after 24 hours and though I came home on a bucket load of pain meds (diclofenac and oxycodone) I have managed to taper my meds dramatically in that time so I’m no longer taking much more than I would have taken pre-op for my worst period days. I had 1-2-1 help at home from my partner for the first 5 days after hospital and this is very important because though I was itching to get moving about I quickly found that didn’t want to lift anything heavier than a mug of tea for the first week.
    The surgery left me with four small incisions, 1-2 cm (from the robot) and one larger lateral one (4-5 cm) above my belly button. The steristrips on the large incision came off yesterday and it seems to be healing well (though it is quite itchy).
    The best advice my surgeon gave me was listen to your body, but err on the side of caution; it’s the little things that get you, opening a heavy shop door, navigating yourself down a moving train, even walking up a small light of stairs in a bookshop! I’ll admit I overdid it a bit yesterday by going downtown for several hours and then going out again later for dinner, so I am having a day of bed rest today to let everything settle back down, but I expect to be going out for shorter daily trips again from tomorrow and I hope to get back at my part time job as a maths tutor in a couple of weeks time.
    Be well.

  4. I have alot of adhesions from past surgeries and widespread endometriosis. Is lash an option for me?

  5. Does anyone know of a consultant that specialises in carrying out a LASH in Sheffield, chesterfield or south yorkshire. Preferably on the NHS.

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