Vaginal Hysterectomy vs. Abdominal Hysterectomy

Hysterectomy is one of the most frequently performed surgical procedures in the United States. Selection of the route of hysterectomy for benign causes can be influenced by the size and shape of the vagina and uterus; accessibility to the uterus; extent of extrauterine disease; the need for concurrent procedures; surgeon training and experience; average case volume; available hospital technology, devices, and support; whether the case is emergent or scheduled; and preference of the informed patient the vaginal approach is preferred among the minimally invasive approaches. Open abdominal hysterectomy remains an important surgical option for some patients. The obstetrician-gynaecologist should discuss the options with patients and make clear recommendations on which route of hysterectomy will maximize benefits and minimize risks given the specific clinical situation [1].