Vaginal hysterectomy [Die vaginale hysterektomie]

If an indication for hysterectomy exists, the appropriate operative extirpation, abdominal or vaginal, must be chosen. The advantages and disadvantages of both procedures, the uterine size and mobility, the local operation conditions, previous gynaecological operations and laparotomies as well as the surgeon's experience should be considered. Regarding the appropriate indication, the vaginal hysterectomy offers several advantages over the abdominal uterine extirpation. Therefore, a vaginal approach should always be considered and preferred in patients diagnosed with benign diseases. The vaginal uterine extirpation is the first operative choice in patients diagnosed with uterus myomatosus and dysfunctional uterine bleedings. In the case of adenomyosis, vaginal hysterectomy can also be considered. Vaginal hysterectomy is a standard operation in gynaecology and several different techniques exist.