ABSTRACT
When Harry Reich performed the world’s first laparoscopic hysterectomy in 1988 [1], in the small coal mining town of Kingston, Pennsylvania, his intention was to replace some of the abdominal hysterectomies performed by laparotomy, rather than to encourage the use of the laparoscopic approach in patients who were suitable for vaginal hysterectomy. The best of intentions are not always realized and many cases of laparoscopic hysterectomy are performed when the uterus could much more easily have been removed by the vaginal route.
