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Tommaso Falcone Thomas G. Stovall
Hysterectomy is one of the most commonly performed surgical procedures in the United States.
Vaginal hysterectomy is the procedure of choice in parous women unless this route is contraindicated.
Laparoscopic hysterectomy is associated with faster postoperative recovery and shorter hospital stay compared with abdominal hysterectomy.
There are no randomized clinical trials demonstrating an advantage of robotic or single-port hysterectomy over conventional laparoscopic hysterectomy.
There appears to be no advantage to the routine use of supracervical hysterectomy when compared with total hysterectomy.
Salpingo-oophorectomy at the time of hysterectomy for benign disease in premenopausal women at average risk for ovarian malignancy is associated with an increase in long-term patient mortality from cardiovascular disease, and ovarian conservation should be strongly considered in these patients.