Vaginal hysterectomy has been shown to have the lowest complication rate, better cosmesis, and decreased cost compared with alternate routes of hysterectomy. However, there are times when a vaginal hysterectomy is not feasible and an open abdominal hysterectomy should be avoided. Minimally invasive surgery has evolved over the last several decades; with the improvement in optics and surgical instruments, laparoscopic hysterectomy is becoming increasingly common. A total laparoscopic hysterectomy is possible with proper training, including sound technique in laparoscopic suturing for closure of the vaginal cuff.
King, C. R., & Giles, D. (2016, September 1). Total Laparoscopic Hysterectomy and Laparoscopic-Assisted Vaginal Hysterectomy. Obstetrics and Gynecology Clinics of North America. W.B. Saunders. https://doi.org/10.1016/j.ogc.2016.04.005