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Obstetrics and Gynecology InternationalVolume 2010 2010, Article ID 356740, 10 pages

Review ArticleDepartment of Obstetrics and Gynecology, Euromedica General Clinic of Thessaloniki, Gravias 2, 54645, Thessaloniki, Greece

Received 30 October 2009; Accepted 22 June 2010

Academic Editor: Liselotte Mettler

Copyright © 2010 Michail S. Papadopoulos et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Hysterectomy is the commonest gynecologic operation performed not only for malignant disease but also for many benign conditions such as fibroids, endometrial hyperplasia, adenomyosis, uterine prolapse, dysfunctional uterine bleeding, and cervical intraepithelial neoplasia. There are many approaches to hysterectomy for benign disease: abdominal hysterectomy, vaginal hysterectomy, laparoscopic assisted vaginal hysterectomy LAVH where a vaginal hysterectomy is assisted by laparoscopic procedures that do not include uterine artery ligation, total laparoscopic hysterectomy TLH where the laparoscopic procedures include uterine artery ligation, and subtotal laparoscopic hysterectomy STLH where there is no vaginal component and the uterine body is removed using a morcelator. In the last decades, many new techniques, alternative to hysterectomy with conservation of the uterus have been developed. They use modern technologies and their results are promising and in many cases comparable with hysterectomy. This paper is a review of all the existing hysterectomy techniques and the alternative methods for benign indications.

Autor: Michail S. Papadopoulos, Athanasios C. Tolikas, and Dimosthenis E. Miliaras

Fuente: https://www.hindawi.com/


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