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    laparoscopic. Although vaginal hysterectomy tops all 3 categories, it is the least utilized of surgical routes. The number of vaginal hysterectomies may have increased. Hysterectomy rates declined during 1980--1986 and increased steadily during 1988--1993. However, during the latter period, the rates of vaginal hysterectomy. assisted vaginal hysterectomy versus total abdominal hysterectomy: a prospective, randomized

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