Laparoscopic or Vaginal Hysterectomy in Women With Abnormal Uterine Bleeding: A Critical Review of Literature

Document Type : Review Article

Authors

1 Obstetrics & Gynecology Department, Mansoura University, Mansoura, Egypt

2 Department of Obstetrics and Gynecology - Mansoura University Hospital - Mansoura Faculty of Medicine - Mansoura - Egypt

3 Department of Obstetrics and Gynecology - Institute of Women’s Life Medical Science - Yonsei University College of Medicine - Seoul – Korea

4 Department of Obstetrics and Gynecology, Faculty of Medicine, Mansoura University, Mansoura, Egypt

Abstract

Background: Hysterectomy is a major gynecological surgery. The surgical approach to hysterectomy is an important factor responsible for postoperative morbidity. Minimally invasive hysterectomies are preferred routes over the routine abdominal approach.
Objectives: To review the literature about the bases of choice between laparoscopic and vaginal hysterectomy routes for benign lesions and critically analyzes the different intra-operative and post-operative characteristics of these approaches in cases with benign pathologies.
Materials and Methods: Review of previously published articles in the English language only.
Results: No differences were found between laparoscopic and vaginal hysterectomies concerning their benefits and surgical outcome. However, LH is considered a longer operation and is associated with a higher cost and risks of urinary tract injuries. Management of adnexal pathologies is sometimes not applicable in cases of vaginal hysterectomy.
Conclusion: Surgeons should minimize abdominal hysterectomy rates by applying minimally invasive approaches. The vaginal approach is the preferred evidence-based recommended approach in patients with benign pathologies. The laparoscopic approach is recommended in cases where a vaginal route isn’t applicable

Keywords

Main Subjects

Files

Share

How to cite

Statistics