MINIMALLY INVASIVE SURGERY

Abstract

Obstetrics and Gynecology Department, Faculty of Medicine, Minia University, Egypt
Hysterectomy is one of the most commonly performed surgeries worldwide. A broad range of surgical
approaches exists for hysterectomy, ranging from open to minimally invasive techniques. Under this minimally
invasive umbrella, the following techniques are included: vaginal hysterectomy, laparoscopic hysterectomy, and
variations of those two techniques, such as laparoscopic-assisted vaginal hysterectomy, robotic-assisted
hysterectomy, laparo-endoscopic single-site laparoscopic hysterectomy, mini-laparoscopic hysterectomy, and
natural orifice transluminal endoscopic surgery hysterectomy. As hysterectomy is being performed increasingly
via a minimally invasive route, it is important that gynecologists are familiar with the established as well as
emerging techniques for minimally invasive hysterectomy (MIH). Surgical planning is a complex process, which
requires an in depth and informed conversation between a patient and her physician. Patient preferences, surgeon
skill and indication for surgery all should be taken into consideration when determining the most appropriate
surgical approach.