The aim of this study was to review the safety and efficacy of total laparoscopic hysterectomy and the laparoscopic assisted vaginal hysterectomy in women. Garry and Reich classified modes of hysterectomy into nine types. This study will review relative efficiency and efficacy of type 3 and type 5 of this classification. The parameters used to evaluate literature both in the total laparoscopic hysterectomy and the laparoscopic assisted vaginal hysterectomy include; patient selection criteria, operative time and technique, intraoperative and postoperative complications, time until resumption of diet, postoperative morbidity, hospital stay, cost effectiveness and the quality of life.

A literature review was performed using Highwire press, Google, and the Springer link search engine. The following terms were used: Laparoscopic assisted vaginal hysterectomy, total laparoscopic hysterectomy, total abdominal hysterectomy, vaginal hysterectomy. Over two hundred and fifty six citations were found. Selected papers were screened for further reference. Criteria for selection of the literature were the number of cases, method of analysis, operative procedure and the institution were the study was done.