Vaginal Hysterectomy: Dispelling the Myths

The feasibility and safety of transvaginal bilateral salpingo‐oophorectomy

“…Given that approximately 5% of women with ovarian malignancy have previously undergone hysterectomy, offering patients transvaginal BSO at the time of hysterectomy could potentially reduce postoperative infection and prevent ovarian carcinomas. The use of BSO at the time of vaginal hysterectomy is less common than at the time of abdominal hysterectomy or laparoscopy, possibly owing to perceived technical difficulties or a lack of training despite evidence that most ovaries are visible and readily accessible vaginally …”

Impact of Two Different Anesthetic Techniques on Immune Response and Postoperative Pain for Abdominal Hysterectomy

“…common approach, despite the fact that vaginal hysterectomy or laparoscopic hysterectomy should be the preferred route [1,2,3] . This can be explained by personal preference or may be due to a lack of training and experience [4] . It can be performed for benign and malignant conditions; approximately 90% of hysterectomies are performed for benign conditions such as fibroids causing abnormal uterine bleeding [5] .…”

Discharge less than 6 hours after robot-assisted total laparoscopic hysterectomy—is it feasible?

“…The vaginal approach is considered the most cost effective, [1] but if there is a need for combining the hysterectomy with removal, the fallopian tubes and the ovaries, the vaginal approach may be inappropriate. Consequently, some gynaecologists consider oophorectomy a contraindication to the vaginal hysterectomy [2].…”