Minimally invasive procedures including vaginal and laparoscopic hysterectomy should be performed in preference to abdominal hysterectomy (fewer adverse events, shorter hospital stay). Moreover, when comparing the vaginal route to the… Click to show full abstract
Minimally invasive procedures including vaginal and laparoscopic hysterectomy should be performed in preference to abdominal hysterectomy (fewer adverse events, shorter hospital stay). Moreover, when comparing the vaginal route to the laparoscopic approach, vaginal hysterectomy should be the gold standard (shorter operating time, fewer urinary tract injuries, cost-effective advantages). However, the prevalence of vaginal hysterectomies has dropped worldwide for the past several years because of difficulties in training and teaching the vaginal procedures and exciting new laparoscopic equipment (3D laparoscopy, relevant energy-driven devices, development of robotic-assisted surgery) [1]. With the COVID-19 crisis, laparoscopic surgery is not without risk:
               
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