title: Total Laparoscopic Hysterectomy and Laparoscopic-Assisted Vaginal Hysterectomy.
abstract: 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.
authors: 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.
authors: Cara R
authors: CR
authors: King
authors: 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: Giles2@wisc.edu.
authors: Dobie
authors: D
authors: Giles
mesh_terms: D005260:Female; D005831:Genital Diseases, Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D010535:Laparoscopy / Q000379:methods; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D056888:Patient Positioning / Q000379:methods*; D011183:Postoperative Complications / Q000601:surgery*; D017410:Practice Guidelines as Topic; D016896:Treatment Outcome; D014481:United States; D014621:Vagina / Q000601:surgery*
keywords: Laparoscopic assisted vaginal hysterectomy; Laparoscopic hysterectomy; Laparoscopy; Minimally invasive surgery; Vaginal surgery