Introduction:

Hysterectomy is still the second most frequent gynecological procedure, secondary only to C-section, so a correct approach is of crucial importance.

Objective:

Compare the differences in the results between laparoscopic and abdominal total hysterectomy in patients with benign uterine pathology.

Material and methods:

Retrospective, observational, descriptive and case-control type design, in which 1,208 patients were compared in whom the total hysterectomy procedure was carried out by abdominal (n = 880) and laparoscopic (n = 328). In the period from January 2012 to December 2016, in a private third level hospital, Hospital Angeles Pedregal in Mexico City, Mexico.

Results:

We found that although surgical times and bleeding were similar in both groups, the laparoscopic approach resulted in a shorter statistically significant in-hospital stay.

Conclusions:

Laparoscopic approach to the hysterectomy procedure has clear advantages over the abdominal approach, demonstrated by the shorter hospital stay and the similar incidence of surgical complications, surgical time and trans-surgical bleeding.