ABSTRACT
This study included 102 patients planned for hysterectomy. The age range was 39 to 51 years. The aim of the study is to compare laparoscopic total hysterectomy to vaginal hysterectomy. 60 cases were chosen for laparoscopic hysterectomy all of them were successful except 2 cases undergone abdominal hysterectomy due to extensive bleeding encoumtered during the operation, and 42 patients undergone vaginal hysterectomy. The operation time for the vaginal hysterectomy was significantly shorter than that of the total laparoscopic hysterectomy.The Blood loss was less with the vaginal hysterectomy compared to the laparoscopic total hysterectomy. The full recovery time was shorter for the vaginal hysterectomy, compared to the laparoscopic total hysterectomy. The Hospital stay and the retum to sexual function were the same for both types of hysterectomy. Pain was the onIy complication encountered in the group who undergone vaginal hysterectomy, accounting for 50% of cases. It was moderate and lasted for a maximmn of 10 days. Laparoscopic hysterectomy was accompanied by abdominal discomfort, shoulder tip pain, and lower abdominal stretch, sequelae of pneumoperitoneum. We conclude that, whenever possible, vaginal hysterectomy is a leading choice. However, in cases of extensive pelvic adhesions, stage III and IV of endometriosis, large ovarian endometriomata >5 cm in diameter and in postmenopausal women with short fornices, laparoscopic total hysterectomy is another good choice, which has minimal complications when performed by trained surgeons