15. COMPARISON Laparoscopic Hysterectomy with Vaginal and Abdominal No scar 3 ½ cm scars Large scar COSMETIC RESULTS 3-5 weeks 2 weeks 4-6 weeks RETURN TO WORK Minimal Negligent Significant POSTOPERATIVE PAIN 3-4 days 1-3 days 5-6 days STAY IN HOSPITAL Not possible Possible Possible REMOVE OVARIES Small uterus Prolapse All indications Large fibroids Endometriosis Ovarian masses Poor access Adhesions INDICATIONS VAGINAL LAPAROSCOPIC ABDOMINAL Â
18. 3. uterine corpus being bivalved after separation of cervix has been completed 4. uterus halved after bivalving procedure to facilitate its removal