Laparoscopic Hysterectomy and Decision When and Which Surgical Approach Is Indicated

Hysterectomy with adnexectomy is the most common surgical procedure in the world after appendectomy and the most common gynecological surgery at all. According to the literature, each year in Great Britain is performed about 60 000 hysterectomies, which means that on average one in five women undergo this procedure at some stage in life. Published information by ACOGʹs (American Congress of Obstetricians and Gynecologists) for 2009 indicated that in the U.S. annually is performed about 600 000 hysterectomies, with the corresponding mortality rate of 0.16%. Each of the tech¬niques described in this paper has its own indications, advantages and complications. It is important to maintain a critical review, use the knowledge and experience to evaluate the selection of the optimal surgical approach. Also, each technique has its own "learning curve" which is short for some techniques, and for some longer, it should be appreciated, and in accordance with them build their individual surgical strategies and in doing so do not forget that the welfare of the patient comes first. Special attention is given to the technique of laparoscopic hysterectomy, which is increasingly in use.