A Stepwise Approach to Trachelectomy

Video Description

In this video we present a laparoscopic approach to trachelectomy following supracervical hysterectomy.

We outline statistics regarding supracervical versus total hysterectomy, the reasons why some patients may initially choose to keep their cervix, and the sequelae that eventually prompt trachelectomy in several cases.

The main purpose of the video is to demonstrate a stepwise approach to trachelectomy using a relatively uncomplicated patient case. The five steps are to restore anatomy, create a bladder flap, perform anterior and posterior colpotomy, lateralize the uterine artery pedicles and finally, to close the vaginal cuff.

We highlight this straightforward five-step process as potentially feasible for any practitioner who is already performing total laparoscopic hysterectomy. Although other cases may bear more complexity than the one demonstrated in this video, adherence to our approach can also be successfully applied in those situations.

Presented By

Female doctor avatar
Dr. Leah Rusnell
Female doctor avatar
Dr. Deanna Buitenhuis
male doctor avatar
Dr. Darrien Rattray


University of Saskatchewan