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Updated: May 23, 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
Hysterectomy throughout history.
Radmila Sparić1, Gernot Hudelist, Milica Berisava
1Institute for Gynecology and Obstetrics, Clinical Centre of Serbia, Belgrade, Serbia.
Acta Chirurgica Iugoslavica
|April 24, 2012
Summary
Hysterectomy, a common women's surgery, has a long history of innovation. Advances like anesthesia and robotics have made this gynecological procedure safer and more accessible.
Area of Science:
- Gynecology
- Surgical History
Background:
- Hysterectomy is a historically significant and frequently performed gynecological surgery.
- Early pioneers faced skepticism, yet their efforts advanced the procedure.
- Modern alternatives exist, but hysterectomy remains common.
Observation:
- The evolution of hysterectomy is marked by key medical advancements.
- Antisepsis, anesthesia, antibiotics, and blood transfusion significantly improved safety.
- Current surgical approaches include vaginal, abdominal, and laparoscopic methods.
Findings:
- Laparoscopic surgery has evolved, leading to the development of robotic assistance.
- Robotic surgery offers advancements beyond conventional laparoscopy.
- Sophisticated four-armed robotic systems are now widely used globally.
Implications:
- Robotic surgery represents the latest frontier in hysterectomy techniques.
- Continued innovation enhances patient outcomes and surgical possibilities.
- Understanding the history informs future developments in gynecological surgery.

