Hysterectomy pp 139-142 | Cite as

Guidelines and Recommendations of Scientific Societies and Associations for Hysterectomy

  • Klaus NeisEmail author
  • Felix Neis


Till the end of the 1980s the only access to hysterectomy was the vaginal and the abdominal approach. By implementing the laparoscopic methods, it was to be expected that the rates of abdominal hysterectomies would decrease radical.

This fact can be witnessed all over the world. Despite the abdominal hysterectomy still dominates. The German guideline for hysterectomy and the guideline of the USA prefer the vaginal hysterectomy as the most gentle, with the lowest risk of complications and most economic access with the shortest duration of surgery.

If the vaginal access to hysterectomy is not possible to avoid abdominal hysterectomy, laparoscopic hysterectomy should be performed. Abdominal hysterectomy should only be indicated in special cases.

Because there are alternatives to hysterectomy these should be discussed with the patient, to enable the patient to decide which of the equal methods fits best to her individual life situation.


Hysterectomy Guideline Vaginal hysterectomy Abdominal hysterectomy Laparoscopic hysterectomy Alternatives of hysterectomy 


  1. 1.
  2. 2.
    Obstetrics GotGSoGa. Indication and technics of hysterectomy for benigne diseases. AWMF Registry No 015/077, March 2015. 2015.
  3. 3.
    Brandner P, Neis KJ. The significance of laparoscopically-assisted vaginal hysterectomy–LAVH. Zentralbl Gynakol. 1995;117(12):620–4.PubMedGoogle Scholar
  4. 4.
    Wu JM, Wechter ME, Geller EJ, Nguyen TV, Visco AG. Hysterectomy rates in the United States, 2003. Obstet Gynecol. 2007;110(5):1091–5.CrossRefPubMedGoogle Scholar
  5. 5.
    Wright JD, Herzog TJ, Tsui J, Ananth CV, Lewin SN, Lu YS, et al. Nationwide trends in the performance of inpatient hysterectomy in the United States. Obstet Gynecol. 2013;122(2 Pt 1):233–41.CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Nieboer TE, Johnson N, Lethaby A, Tavender E, Curr E, Garry R, et al. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev. 2009;3:CD003677.Google Scholar
  7. 7.
    Aarts JW, Nieboer TE, Johnson N, Tavender E, Garry R, Mol BW, et al. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev. 2015;8:Cd003677.Google Scholar
  8. 8.
  9. 9.
    (ASF) ASF. Zugriff: 27102014. 2010.
  10. 10.
    Jacobson TZ, Duffy JM, Barlow D, Koninckx PR, Garry R. Laparoscopic surgery for pelvic pain associated with endometriosis. Cochrane Database Syst Rev. 2009;4:CD001300.Google Scholar
  11. 11.
    Merrill RM. Hysterectomy surveillance in de United States, 1997 through 2005. Med Sci Monit Int Med J Exp Clin Res. 2008;14(1):CR24–31.Google Scholar
  12. 12.
    ACOG Committee Opinion No. 444: choosing the route of hysterectomy for benign disease. Obstet Gynecol. 2009;114(5):1156–8.Google Scholar
  13. 13.
    Worldwide AAMIG. AAGL position statement: route of hysterectomy to treat benign uterine disease. J Minim Invasive Gynecol. 2011;18(1):1–3.CrossRefGoogle Scholar
  14. 14.
    Kuppermann M, Varner RE, Summitt Jr RL, Learman LA, Ireland C, Vittinghoff E, et al. Effect of hysterectomy vs medical treatment on health-related quality of life and sexual functioning: the medicine or surgery (Ms) randomized trial. JAMA. 2004;291(12):1447–55.CrossRefPubMedGoogle Scholar
  15. 15.
    Varner RE, Ireland CC, Summitt Jr RL, Richter HE, Learman LA, Vittinghoff E, et al. Medicine or Surgery (Ms): a randomized clinical trial comparing hysterectomy and medical treatment in premenopausal women with abnormal uterine bleeding. Control Clin Trials. 2004;25(1):104–18.CrossRefPubMedGoogle Scholar
  16. 16.
    Radosa JC, Meyberg-Solomayer G, Kastl C, Radosa CG, Mavrova R, Graber S, et al. Influences of different hysterectomy techniques on patients' postoperative sexual function and quality of life. J Sex Med. 2014;11(9):2342–50.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2018

Authors and Affiliations

  1. 1.Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizinder Universität des SaarlandesHomburgGermany
  2. 2.European Training Center for Gynecologic EndoscopySaarbrückenGermany
  3. 3.Universitätsfrauenklinik TübingenTübingenGermany

Personalised recommendations