There are many reasons for having an hysterectomy. The most common method involves removing the uterus via an incision in the abdomen (abdominal hysterectomy). Vaginal hysterectomy is the term given when the uterus is removed via the vagina with no incisions on the abdomen. This involves the least amount of pain and discomfort for the patient. Laparoscopy enables an abdominal hysterectomy to be converted to a vaginal hysterectomy. Laparoscopic hysterectomy is major surgery accomplished through minor incisions. The advantage is avoiding an abdominal incision.
 A normal uterus with plenty of room to operate |
 The bowel is adherent to the back of the uterus. It would be difficult to perform a vaginal hysterectomy here without perforating the bowel. Laparoscopy would allow division of the adhesions so the uterus can be removed safely through the vagina. |
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