Route of hysterectomy: an evidence-based approach.

The number of hysterectomies performed has long been a concern; now the appropriateness of the surgical method is under more careful scrutiny. What is the clinically appropriate route and method for hysterectomy in a given patient? To ensure that each patient receives the best possible care at reasonable costs, physicians must closely examine recent data comparing surgical approaches to hysterectomy. So, what is the most evidence-based approach for hysterectomy?