In simple words: The doctor removes the uterus (womb) through small cuts in the belly using a camera and special tools. The cervix, tubes, and ovaries are left in place. The uterus is larger than usual, probably because of fibroids.

This procedure involves the removal of the uterus (larger than 250 g) using a laparoscope, preserving the cervix, fallopian tubes, and ovaries.The procedure typically begins with the patient in the dorsal lithotomy position under general anesthesia.A laparoscope is inserted through a small incision near the belly button, and the abdomen is inflated with carbon dioxide gas (pneumoperitoneum). Additional small incisions are made for inserting surgical instruments. The surgeon dissects the bladder from the uterus, detaches the uterine ligaments, and removes any fibroids. The uterine artery is clamped and cut. The fundus of the uterus is separated from the cervix, and the uterus is then morcellated (cut into smaller pieces) for removal through the incisions. The incisions are then closed.

Example 1: A 45-year-old woman with symptomatic uterine fibroids causing a uterus larger than 250 grams undergoes a laparoscopic supracervical hysterectomy (58543)., A 50-year-old woman with abnormal uterine bleeding and a uterus weighing 280 grams undergoes a laparoscopic supracervical hysterectomy., A patient with a uterus enlarged due to multiple fibroids, exceeding 250 grams, chooses to have a laparoscopic supracervical hysterectomy to preserve her cervix.

Documentation should include the size of the uterus (greater than 250g), the laparoscopic approach, the supracervical technique (preserving the cervix), and any associated procedures, such as removal of fibroids, if performed. Operative report should clearly detail all steps in the procedure, from patient positioning, incision creation, instrument usage, to closing.