Total Laparoscopic Hysterectomy for the Fibroid Uterus

Hysterectomy is one of the most common major gynaecological procedures and has been reported in early Greek manuscripts as early as 50 BC and AD 120, though proof that it was performed is limited. However, it was not until the 1800s that the first planned vaginal hysterectomy was recorded [1]. Traditionally, hysterectomy is done either by an open abdominal approach via a midline or transverse incision, or by a vaginal approach. The first laparoscopic hysterectomy was described by Harry Reich and colleagues in 1989 [2]. With advances in technology, development of new instruments and standardization of surgical techniques, the laparoscopic approach has fast gained popularity across gynaecological practice and has become an independent alternative treatment option [3–6].