Route of hysterectomy

A. Vaginal hysterectomy is usually recommended for women with benign disease confined to the uterus when the uterine weight is estimated at less than 280 g. It is the preferred approach when pelvic floor repair is to be corrected concurrently.

B. Contraindications to hysterectomy:

1. Lack of uterine mobility

2. Presence of an adnexal mass requiring removal

3. Contracted bony pelvis

4. Need to explore the upper abdomen

5. Lack of surgical expertise

C. Vaginal hysterectomy is associated with fewer complications, shorter length of hospitalization, and lower hospital charges than abdominal hysterectomy.

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