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Large randomized comparisons have established laparoscopic hysterectomy as a viable alternative to abdominal hysterectomy for many benign gynecologic indications. Minimally invasive surgery is generally associated with shorter hospital stay and faster recovery, although operating time and technical complexity may differ. For gynecologic surgeons, patient selection remains central: uterine size, prior surgery, adhesions, extrauterine disease and surgeon expertise influence feasibility. The broader relevance to MIGS is that minimally invasive access should be selected because it offers a favorable balance of recovery and surgical control, not simply because it is technologically newer. Appropriate counseling should include the possibility of conversion to laparotomy and discuss alternative routes including vaginal surgery when suitable.
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Large randomized comparisons have established laparoscopic hysterectomy as a viable alternative to abdominal hysterectomy for many benign gynecologic indications. Minimally invasive surgery is generally associated with shorter hospital stay and faster recovery, although operating time and technical complexity may differ. For gynecologic surgeons, patient selection remains central: uterine size, prior surgery, adhesions, extrauterine disease and surgeon expertise influence feasibility. The broader relevance to MIGS is that minimally invasive access should be selected because it offers a favorable balance of recovery and surgical control, not simply because it is technologically newer. Appropriate counseling should include the possibility of conversion to laparotomy and discuss alternative routes including vaginal surgery when suitable.
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