Introduction:

Hysterectomy is the most frequent surgical procedure of gynecological practice. It is performed by different surgical approaches: laparotomy, vaginal, laparoscopy and robot-assisted laparoscopy.

Objective:

To analyze the incidence of the different approaches to hysterectomy in the treatment of benign disease of the uterus in the Angeles Pedregal Hospital, and to compare their results.

Material and methods:

Transversal and descriptive study was carried out through the collection of data from the clinical files of patients who underwent laparotomy, vaginal, laparoscopic or robot assisted laparoscopic hysterectomy during January 01, 2015 to December 31 of the same year. The parameters evaluated and com-pared were: average hospital stay, surgical and anesthesia time, bleeding amount, postoperative pain and intra and postoperative complications.

Results:

The sample studied consisted of 213 patients. The most frequent surgical approach was abdominal hysterectomy (61.97%), which presented the highest rate of transoperative and postoperative complications, the highest amount of bleeding and length of hospital stay. Vaginal and minimally invasive approaches, has the lowest rate of surgical complications.

Conclusions:

Minimally invasive techniques and vaginal hysterectomy, due to its low rate of morbidity and mortality should be considered of choice for the surgical management of benign uterine disease.