Overview
Vaginal hysterectomy is a well-established minimally invasive operation in which the uterus is removed through the vagina, without an abdominal incision. It is commonly used for benign gynecologic conditions such as uterine fibroids, abnormal uterine bleeding, prolapse, and chronic pelvic symptoms when surgery is appropriate. A newer approach, vaginal assisted natural orifice transluminal endoscopic surgery hysterectomy, or VANH, combines the vaginal route with endoscopic assistance to improve visualization and surgical precision.
This randomized controlled trial compared vaginal hysterectomy (VH) with VANH as a day-care procedure, meaning the goal was same-day discharge after surgery. Day-care or outpatient surgery is important because it may reduce hospital stay, improve comfort, and lower health care costs, provided safety is not compromised.
