Authors: Michael D Moen Michael B Noone Denise M Elser for the Urogynecology Network
Publish Date: 2008/06/11
Volume: 19, Issue: 9, Pages: 1189-1192
Abstract
Minimally invasive surgery MIS such as natural orifice surgery is perceived as a relatively recent development partly because many MIS techniques utilize new technology and devices However a natural orifice/MIS approach for hysterectomy vaginal hysterectomy VH has existed for over a century VH is typically thought of in the realm of the urogynecologist as a component of reconstructive pelvic surgery for pelvic organ prolapse However current evidence supports the use of VH in women with other benign conditions such as uterine fibroids and abnormal bleeding Despite the evidence and availability of several MIS options for hysterectomy the majority of hysterectomies continue to be performed via laparotomy VH is the least invasive approach to hysterectomy and its use should be encouraged as the preferred MIS option for women requiring uterine removal for benign conditions
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