Abstract
Objective: To compare advantages of vaginal hysterectomy to abdominal hysterectomy in women without genital prolapse, demonstrating benefits of vaginal procedure. Methods: A review of literature in review texts, scientific articles of type of case review, systematic reviews and controlled studies in MEDLINE and PubMed (2007-2017), written in portuguese, english and spanish languages, were carried out to promote a basic exploratory and qualitative study. Results: It was observed that among advantages of vaginal hysterectomy to abdomen are demand for shorter operative time, to be minimally invasive, to have low morbidity and without the presence of a visible scar, to require less time to return to daily activities, to have low incidence of intraoperative complications, have an excellent cost-benefit ratio, with lower blood loss during the operation, imply much lower costs for the Health System, with less time of disability and hospitalization. Conclusion: It is necessary to disseminate the practice of vaginal hysterectomy by emphasizing vaginal surgeries in Medical Residency programs, associated with practical training supervised by experienced professionals. In this way, it is possible to acquire experience and reverse current reduction in vaginal hysterectomies each year.