Laparoscopic Subtotal Hysterectomy (LSH)

The aim of this article is to demonstrate a standardized safe minimal invasive technique of laparoscopic subtotal hysterectomy developed at the Clinic for Minimal Invasive Surgery in Berlin, Germany. Based on the experience of 11,598 LSH operations, the tips and tricks should help to prevent complications even in difficult case situations of very enlarged uteri. The “change over technique” is one way to prevent an abdominal hysterectomy in such cases. Our results regarding complication rates with the described surgical technique are compared and discussed with the literature.