Subtotal hysterectomy and myomectomy - vaginally

Area of Science:

• Gynecology
• Minimally Invasive Surgery

Background:

• Vaginal subtotal hysterectomy and vaginal myomectomy are underutilized gynecological procedures.
• Vaginal surgery offers proven benefits compared to abdominal or laparoscopic methods.

Purpose of the Study:

• To advocate for increased application of vaginal subtotal hysterectomy and vaginal myomectomy.
• To review the evidence, indications, and techniques for these vaginal procedures.

Main Methods:

• Review of existing evidence supporting vaginal hysterectomy and myomectomy.
• Description of surgical techniques for vaginal subtotal hysterectomy.
• Description of surgical techniques for vaginal myomectomy.

Main Results:

• Vaginal subtotal hysterectomy may be preferable to total hysterectomy in specific cases.
• Vaginal myomectomy allows for thorough fibroid removal and robust uterine repair.
• These vaginal approaches avoid abdominal incisions and associated complications.

Conclusions:

• Vaginal subtotal hysterectomy and vaginal myomectomy are valuable procedures with significant advantages.
• Wider adoption of these techniques is recommended for appropriate patient candidates.