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
18. 3. uterine corpus being bivalved after separation of cervix has been completed 4. uterus halved after bivalving procedure to facilitate its removal