ABSTRACT
Many therapeutic options are usually available for any particular medical condition, but the clinician is expected to select the modality that provides the best results.When a number of modalities are available with similar results, it would be prudent to select the option that has the least complications. It must be remembered that postoperative complications and morbidity and mortality rates vary markedly for individual surgeons. It is difficult, if not impossible, to compare objectively and prospectively the morbidity associated with different routes of surgery, particularly when considering factors such as patient satisfaction, cost of surgery, and the time taken by the patient to return to normal function. Unfortunately, in the affluent world, one increasingly feels that the duration of hospitalization is decided by insurance and equipment companies rather than by what is best for the patient, whereas, in the poorer nations, advanced therapeutic options are not universally and always available. The advent of the laparoscope has increased awareness among gynaecologists of the advantages of a straightforward vaginal hysterectomy [1].
