Dr. Sukhamoy Barik

Dr. Sukhamoy Barik

MBBS (Cal), MS (Obstetrics and Gynaecology) FMAS
Consultant Gynaec Laparoscopic Surgeon and Infertility Specialist

Laparoscopic Hysterectomy vs. Vaginal Hysterectomy: which one is better?

by drbarik | Jun 9, 2023 | Gynaecology

Laparoscopic Hysterectomy vs Vaginal Hysterectomy: which one is better?

Hysterectomy, the surgical extraction of the uterus, is a common procedure performed to treat various gynecological conditions. Two popular methods for performing a hysterectomy are laparoscopic hysterectomy and vaginal hysterectomy. Each technique offers unique advantages and considerations, making it essential for patients to understand the pros and cons of each approach.

In this article, the best laparoscopic hysterectomy surgeon in Dumdum explores the differences between laparoscopic and vaginal hysterectomy to help women make prudent decisions about their surgical options.



Laparoscopic Hysterectomy

Laparoscopic hysterectomy is a minimally invasive surgery that utilizes small incisions and a laparoscope to remove the uterus. Here are the core features associated with this technique:


1) Minimally Invasive: Laparoscopic hysterectomy involves smaller incisions compared to traditional abdominal surgery, resulting in reduced pain, less scarring, and a quicker recovery time.


2) Enhanced Visualization: The laparoscope provides a magnified view of the pelvic organs, enabling surgeons to visualize and access hard-to-reach areas more easily. This enhances surgical precision and reduces the risk of complications.


3) Reduced Blood Loss: The smaller incisions and the use of specialized instruments in laparoscopic hysterectomy lead to reduced blood loss during the procedure.


4) Shorter Hospital Stay: Patients undergoing laparoscopic hysterectomy experience a shorter hospital stay compared to abdominal hysterectomy, allowing for a faster recovery and quicker return to normal activities.


5) Longer Operating Time: Laparoscopic hysterectomy generally takes longer to perform than vaginal hysterectomy due to the need for specialized equipment and advanced surgical skills.



Vaginal Hysterectomy:

Now let us take a look at the other pole of our comparison. In a vaginal hysterectomy, the uterus is removed through the vagina without the need for external incisions. Below are the benefits and shortcomings associated with this technique:


1) Minimal Scarring: Vaginal hysterectomy leaves no visible abdominal scars since the uterus is removed through the vaginal canal.


2) Shorter Operating Time: Vaginal hysterectomy is generally quicker to perform compared to laparoscopic hysterectomy, as it does not require the use of specialized equipment or extensive dissection.


3) Limited Visualization: The lack of direct visualization during a vaginal hysterectomy can make it more challenging for surgeons to access certain areas of the pelvic cavity, potentially increasing the risk of complications.


4) Inability to Address Concurrent Conditions : According to the best laparoscopic hysterectomy surgeon, vaginal hysterectomy may not be suitable for patients with additional gynecological conditions, such as large fibroids or extensive endometriosis, which may require a more comprehensive approach.


5) Risk of Vaginal Vault Prolapse : In some cases, this procedure can increase the risk of vaginal vault prolapse, which may pose further complications.



As we closely compare these two putting them side by side, we can’t help but notice that both procedures have their own share of benefits and shortcomings. Hence, it is prudent to consult the best laparoscopic hysterectomy surgeon and count on them to decide which procedure will best suit your condition.