Hysterectomy is one of the most commonly performed gynecological procedures worldwide, indicated for benign conditions such as fibroids, abnormal uterine bleeding, adenomyosis, and chronic pelvic pain. Among the different approaches, the laparoscopic supracervical hysterectomy (LSH) has gained popularity for its minimally invasive nature, preservation of the cervix, and faster recovery profile. At World Laparoscopy Hospital (WLH), Gurugram and Dubai, this procedure is performed with cutting-edge technology and advanced surgical expertise, ensuring optimal outcomes for women from around the globe.

Understanding Supracervical Hysterectomy

In a supracervical hysterectomy, the uterine body is removed while the cervix is left intact. Unlike total hysterectomy, where both the uterus and cervix are excised, LSH maintains the cervix to support pelvic floor integrity and sexual function. This approach is particularly suitable for women with benign uterine conditions who prefer cervical preservation.

Indications include:

Symptomatic fibroids not responsive to medical therapy

Adenomyosis with intractable pain

Heavy menstrual bleeding resistant to conservative treatments

Benign uterine enlargement causing pressure symptoms

Contraindications include:

Cervical dysplasia or malignancy

Severe pelvic inflammatory disease

Extensive endometriosis involving the cervix

Advantages of the Laparoscopic Approach

World Laparoscopy Hospital specializes in minimally invasive gynecological surgery, and the laparoscopic approach offers significant benefits:

Smaller Incisions – Minimal scarring and better cosmetic results.

Reduced Pain – Less postoperative discomfort compared to open surgery.

Faster Recovery – Most patients return to routine activities within 1–2 weeks.

Lower Complications – Reduced blood loss, infection, and adhesion formation.

Preservation of Cervix – Maintains pelvic support, possibly improving long-term pelvic floor function.

Laparoscopic Supracervical Hysterectomy at WLH – Step-by-Step

At World Laparoscopy Hospital, the procedure is performed under general anesthesia with advanced laparoscopic instrumentation and robotic assistance when indicated. Dr. R. K. Mishra and his surgical team follow a systematic protocol to ensure patient safety and surgical precision.

Patient Preparation

Preoperative imaging and blood work confirm the indication.

Bowel preparation and antibiotic prophylaxis are administered.

The patient is placed in lithotomy with a Trendelenburg tilt for optimal pelvic access.

Port Placement

A 10 mm umbilical port is inserted for the laparoscope.

Additional 5 mm working ports are placed laterally, ensuring triangulation.

Exploration and Uterine Mobilization

Pelvic organs are examined for pathology.

Adhesions, if present, are carefully lysed to restore anatomy.

Dissection and Vessel Sealing

Uterine vessels are identified and sealed using advanced energy devices such as harmonic scalpel or bipolar cautery.

Care is taken to preserve the cervix and adjacent structures like bladder and ureters.

Amputation of the Uterine Corpus

The uterine body is separated from the cervix at the isthmus level.

Endocervical tissue is carefully inspected to avoid residual endometrium.

Tissue Retrieval

The excised uterus is morcellated within a containment system and removed through the small laparoscopic ports.

WLH adheres to international guidelines for safe morcellation to prevent inadvertent spread of undetected pathology.

Hemostasis and Closure

Hemostasis is ensured at the cervical stump.

Ports are closed with absorbable sutures, leaving minimal scarring.

Postoperative Care and Recovery

At WLH, patient recovery is closely monitored with enhanced recovery protocols:

Hospital Stay: Most patients are discharged within 24–48 hours.

Pain Management: Non-opioid analgesics effectively control discomfort.

Resumption of Activities: Patients return to light activities in a week and normal routine within 2–3 weeks.

Follow-up: Regular cervical screening (Pap smears) continues since the cervix remains intact.

Training and Global Impact

One of the unique aspects of World Laparoscopy Hospital is its dual role as a center of excellence in patient care and surgical training. Surgeons from more than 138 countries train here under the mentorship of Dr. R. K. Mishra. During training sessions, LSH is demonstrated live, offering participants hands-on exposure to advanced laparoscopic techniques.

The hospital’s structured training ensures that gynecologists worldwide can replicate the same high standards in their own practices, extending the benefits of minimally invasive surgery to women globally.

Conclusion

Laparoscopic supracervical hysterectomy at World Laparoscopy Hospital combines surgical expertise, state-of-the-art technology, and patient-centered care. By offering a minimally invasive option with faster recovery and preservation of cervical support, WLH provides women with safe, effective, and modern surgical solutions for benign gynecological conditions.

For patients, this means regaining health with minimal disruption to daily life. For surgeons, it represents an opportunity to learn and practice advanced skills under world-class guidance. Under the leadership of Dr. R. K. Mishra, WLH continues to set global standards in laparoscopic surgery, transforming gynecological care and education worldwide.