title: Evidence Basis for Hysterectomy.
abstract: Although vaginal hysterectomy has long been championed by the American College of Obstetricians and Gynecologists as the preferred mode of uterine removal, nationwide vaginal hysterectomy utilization has steadily declined. This article reviews the evidence comparing vaginal with other modes of hysterectomy and highlights areas of ongoing controversy regarding contraindications to vaginal surgery, risk of subsequent prolapse development, and impacts of changing hysterectomy trends on resident education.
authors: Department of Obstetrics and Gynecology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
authors: Jenifer N
authors: JN
authors: Byrnes
authors: Department of Obstetrics and Gynecology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address: trabuco.emanuel@mayo.edu.
authors: Emanuel C
authors: EC
authors: Trabuco
mesh_terms: D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000379:methods; D010535:Laparoscopy; D007889:Leiomyoma / Q000601:surgery*; D017410:Practice Guidelines as Topic; D012307:Risk Factors; D065287:Robotic Surgical Procedures / Q000009:adverse effects / Q000379:methods; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000517:prevention & control; D014481:United States; D014592:Uterine Hemorrhage / Q000601:surgery*; D014594:Uterine Neoplasms / Q000601:surgery*; D014621:Vagina / Q000601:surgery; D014623:Vaginal Diseases / Q000209:etiology / Q000517:prevention & control
keywords: Costs; Cuff dehiscence; Hysterectomy; Laparoscopic; Robotic; Vaginal