Natural orifice hysterectomy

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....

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Bibliographic Details
Published in:International Urogynecology Journal 2008-09, Vol.19 (9), p.1189-1192
Main Authors: Moen, Michael D., Noone, Michael B., Elser, Denise M.
Format: Article
Language:English
Subjects:
Current Opinion/Update
Gynecology
Hysterectomy
Medicine
Medicine & Public Health
Urology
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Summary: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.
ISSN:0937-3462
1433-3023
DOI:10.1007/s00192-008-0659-y