Laparoscopic hysterectomy in current gynecological practice

Abstract The role of laparoscopic hysterectomy (LH) in current gynecological practice has yet to be defined. Two distinct groups doing laparoscopic hysterectomy exist: a very large cluster doing it instead of vaginal hysterectomy (VH) and a much smaller elitist segment doing it when vaginal hysterectomy is not possible. It is accepted that its role is to decrease the incidence of abdominal hysterectomies (AHs), not vaginal hysterectomies. The introduction of LH into current gynecologic training and practice also serves to increase familiarity and skill of surgeons with the vaginal procedure, thus potentially converting even more abdominal procedures to a vaginal route. Reasons why the procedure has not been easily assimilated into routine gynecological practice are discussed and trends are reviewed.

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