Abstract
Purpose: A vaginal hysterectomy (VH) may be preferred when possible. However, VH is less than the ideal in benign cases with known or suspected concomitant pelvic disease and a laparoscopic approach of the hysterectomy may be favoured. The laparoscopic hysterectomy requires more surgical skills. The aim of the study is to demonstrate a combined strategy of vaginal hysterectomy by bipolar sealer -shear with post-hysterectomy check laparoscopy (VHPHCL) over lapa-roscopic assisted vaginal hysterectomy (LAVH) in cases with known or suspected concomitant pelvic disease.
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