Laparoscopic Supracervical Hysterectomy: How the MetraLOOP Fits

What supracervical hysterectomy involves

In a supracervical or subtotal procedure the uterine corpus is removed and the cervix is preserved. The choice between total and supracervical surgery is clinical, taken after counselling, and depends on the indication, cervical screening status and patient preference. Equipment decisions follow from that choice.

A LASH hysterectomy typically includes uterine manipulation, control of the round ligaments and adnexa, ligation of the uterine vessels, detachment of the corpus from the cervix, closure or coagulation of the stump and removal of the specimen.

The loop step: how MetraLOOP works

The MetraLOOP is an electrosurgical loop system designed for laparoscopic supracervical hysterectomy that allows the uterus to be detached quickly and precisely. The loop is placed around the uterus at the intended level, tightened and activated while it is drawn closed.

Two loop sizes, diameter 100 mm and 175 mm, adapt the system to small and large uteri. The instrument has a 5 mm diameter and ceramic insulation, the inner and outer shafts are reusable and the loops are single use for consistent cutting performance.

• Loop sizes 100 mm and 175 mm
• 5 mm instrument with ceramic insulation
• Reusable inner and outer shafts
• Single-use loops
• COMFORT version stores preferred settings and documents number of uses

Generator pairing

MetraLOOP works with common HF generators and is optimised for the dedicated MetraLOOP mode of the ARC 400. The ARC 400 reads instruments through RFID in the COMFORT system, preselects basic settings and counts remaining uses, and offers up to 400 W bipolar and 400 W monopolar power.

If you use another generator, request written confirmation of compatibility and a recommended setting range from the manufacturer. Never improvise settings.

Related steps: sealing, manipulation and removal

Vessel control may be done with bipolar sealing; see our guide to vessel sealing in laparoscopic hysterectomy. A manipulator keeps the uterus positioned, as described in uterine manipulator types.

After detachment the corpus must be removed. Options include morcellation, preferably contained, and vaginal or minilaparotomy extraction. Read contained morcellation and the full laparoscopic hysterectomy instrument list.

Training, safety and stump care

Electrosurgical detachment demands attention to the position of the loop relative to the ureters, bladder and bowel. Teams usually rehearse loop placement on a simulator, agree a standard sequence for tightening and activating, and keep a plan for bleeding control and for conversion. These points belong in the department protocol, not just in individual habit.

Because the cervix remains, the stump needs a defined approach, whether coagulation, suturing or both, and patients should have clear follow-up information, including about cervical screening. Equipment cannot replace counselling, but a reliable loop and a matched generator remove avoidable variability.

Equipment checklist and procurement

Confirm the generator, the loop stock, shaft reprocessing method and number of loops per case. Plan for tray configuration, staff training and a back-up generator. Ask whether the COMFORT option is worth it for your usage counting.

Beckfinity specialists can configure the BOWA package for your theatre; please request a quote or consultation, and check current UAE device registration requirements with the relevant authority.