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Updated: May 29, 2026
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Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
[Surgical approaches to hysterectomy].
Serge Pither1, L S Bayonne Manou, J M Mandji Lawson
1Hôpital d'instruction des armées Omar Bongo Ondimba, Service de chirurgie gynécologique, BP 13748 Libreville, Gabon. pitherserge@lnet.ga
Sante (Montrouge, France)
|September 8, 2011
Summary
Vaginal hysterectomy, often with laparoscopic assistance, is frequently preferred over abdominal hysterectomy for benign uterine conditions. This approach demonstrates fewer complications and advantages in surgical practice.
Area of Science:
- Gynecological Surgery
- Minimally Invasive Procedures
- Surgical Outcomes
Context:
- Hysterectomy is a common surgical procedure for benign uterine conditions.
- Abdominal, vaginal, and laparoscopic hysterectomy are the primary surgical approaches.
- Surgical technique selection impacts patient outcomes and resource utilization.
Purpose:
- To evaluate the frequency, complications, and advantages of abdominal, vaginal, and laparoscopic hysterectomy.
- To compare the outcomes of different hysterectomy approaches in a real-world clinical setting.
Summary:
- A prospective study of 78 hysterectomies for benign conditions found vaginal hysterectomy (61%) more frequent than abdominal (39%).
- Laparoscopic assistance was used in 20.58% of cases.
- Surgical morbidity included two incidents (bladder and uterine injury); no deaths occurred.
Impact:
- Findings suggest surgeon experience with vaginal and laparoscopic-assisted hysterectomy influences the reduced use of the abdominal route.
- Highlights the potential for minimally invasive techniques to improve safety and efficiency in hysterectomy.
- Provides data for optimizing surgical approach selection in gynecological practice.
