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Department of Obstetrics and Gynaecology, St Peter's Hospital Chersey, Surrey, UK.
The development of minimally invasive hysterectomy in gynaecology is clearly an exciting one, but these procedures need to be validated in prospective studies. If laparoscopic hysterectomy proves to be safe and more effective than abdominal hysterectomy, then it will definitely become established as a validated procedure in gynaecology. There are an increasing number of surgical options for women with menstrual problems-hysterectomy: abdominal, vaginal, laparoscopic, total, supra-cervical, Doderlein, with or without oophorectomy, or endometrial ablation or resection. One particular approach will not be suitable for all women and the choice needs to be individualized according to the particular clinical situation and to some extent patient choice. The true benefits of the supra-cervical approach are yet to be shown, but this may be the way that laparoscopic hysterectomy will develop in the future.
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