Laparoscopic or Vaginal Hysterectomy in Women With Abnormal Uterine Bleeding: A Critical Review of Literature | ||
| Evidence Based Women's Health Journal | ||
| Volume 14, Issue 4, November 2024, Pages 394-399 PDF (320.51 K) | ||
| Document Type: Review Article | ||
| DOI: 10.21608/ebwhj.2024.315039.1353 | ||
| Authors | ||
| Amany Makroum* 1; Mostafa Alkhiary2; Ashraf A. Foda2; Jung-Yun Lee3; Osama Warda4 | ||
| 1Obstetrics & Gynecology Department, Mansoura University, Mansoura, Egypt | ||
| 2Department of Obstetrics and Gynecology - Mansoura University Hospital - Mansoura Faculty of Medicine - Mansoura - Egypt | ||
| 3Department of Obstetrics and Gynecology - Institute of Women’s Life Medical Science - Yonsei University College of Medicine - Seoul – Korea | ||
| 4Department 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 | ||
| Laparoscopic hysterectomy; laparoscopic-assisted vaginal hysterectomy; minimally invasive hysterectomy; vaginal hysterectomy | ||
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