Benign Uterine Pathology - Minimally Invasive Surgical Techniques versus Open Surgery

Abstract

The use of laparoscopic procedures has shown a continuous growth since 1990’s, while the abdominal and vaginal approaches decreased. The aim of this study is to evaluate and to compare each type of surgical approach (abdominal, vaginal, laparoscopic) used for performing a hysterectomy. A systematic review of literature was performed. After analyzing the 22 studies included in this review, it was observed that laparoscopic hysterectomy compared to abdominal hysterectomy has a shorter hospital stay, allows the patient to return quicker to daily activities, but is associated with longer procedure time and has higher incidence of major complications compared to vaginal and abdominal approach. The alternative of laparoscopically approach is represented by robotic assisted surgery which is high current. The advantages of the assisted robotic surgery promise to open a new window for minimally invasive surgery in gynecology.