Expert Commentary

Why I prefer the vaginal route for hysterectomy

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Dr. Mark Walters characterizes the vaginal approach to hysterectomy as a "solid, reliable way to do a hysterectomy." He feels that every gynecologist should know how to perform the vaginal approach and use it with properly selected patients. He explains:

  • why so few hysterectomies are performed vaginally, despite this approach’s record as the safest and cheapest option
  • why we should not abandon vaginal hysterectomy but “incorporate it into our practices as a best option in certain patients, as well as the most cost-effective option”
  • how to decide which hysterectomy route is best for a particular patient
  • what to do when the vaginal approach may not be the optimal option in a specific case
  • how the need for oophorectomy or salpingectomy influences the hysterectomy decision.

Be sure to read When is the robot truly the best option for gynecologic surgery? by Tommaso Falcone, MD, and Javier Magrina, MD (Commentary, February 2015)

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