Since the first laparoscopic-assisted vaginal hysterectomy (LAVH) performed by Reich 1 the numbers of laparoscopic hysterectomies (LH) have increased. However, despite the advantages compared with the abdominal approach, the implementation has been slow, varying by surgeon, department or country. [2][3][4] The reasons given for this slow implementation are complications, operative time, advanced procedure with a long learning curve and higher cost. 5 The objective of this article is to discuss the reasons given for slow implementation and to raise the question of whether an effort should be made in the medical community to increase the rate of laparoscopic hysterectomy.

Rates of completing salpingectomy with hysterectomy are high. There may be additional opportunity for ovarian cancer reduction. No standard rate has been published but considering difficulty with removal of fallopian tubes in certain cases, it may not be 100%. Our data allows for comparison by other units performing similar studies. We recommend the formal adoption of local guidelines regarding salpingectomy at the time of hysterectomy for benign indications in order to keep local practice up to date with international recommendations.