Total Laparoscopic Hysterectomy and Laparoscopic-Assisted Vaginal Hysterectomy.

Obstet Gynecol Clin North Am

Division of Gynecology and Gynecologic Subspecialties, Department of Obstetrics and Gynecology, University of Wisconsin-Madison, 600 Highland Avenue, CSC H4/630, Madison, WI 53792, USA. Electronic address:

Published: September 2016

Vaginal hysterectomy has been shown to have the lowest complication rate, better cosmesis, and decreased cost compared with alternate routes of hysterectomy. However, there are times when a vaginal hysterectomy is not feasible and an open abdominal hysterectomy should be avoided. Minimally invasive surgery has evolved over the last several decades; with the improvement in optics and surgical instruments, laparoscopic hysterectomy is becoming increasingly common. A total laparoscopic hysterectomy is possible with proper training, including sound technique in laparoscopic suturing for closure of the vaginal cuff.

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http://dx.doi.org/10.1016/j.ogc.2016.04.005DOI Listing

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