Laparoscopic assisted vaginal hysterectomy/laparoscopic hysterectomy

Laparoscopic assisted vaginal hysterectomy has changed the face of gynecologic surgery. Unfortunately it became a "standard" procedure before it could adequately be studied. Therefore most studies are either descriptive or a retrospective comparison to abdominal or vaginal hysterectomy. Laparoscopic assisted vaginal hysterectomy is not a substitute for vaginal hysterectomy. It should be used to convert an abdominal procedure, to one which can be performed vaginally. Laparoscopic assisted vaginal hysterectomy may have a place in gynecologic surgery if selected wisely.