In some cases neither a vaginal hysterectomy nor a microscopic hysterectomy may be possible. In these cases, a minilaparotomy hysterectomy may be required.
Essentially, this type of procedure uses a 5 cm incision point to operate on the uterus. This type of procedure is usually quite quick for the surgeon to perform, as they have a lot more room in which to do the operation. The cost of the procedure may also be less than other types of hysterectomies, so each patient must determine the cost vs. benefit ratio (however, the cost may not be less as it the cost must be reviewed on a per patient basis).
A Minilaparotomy hysterectomy will take more time to recover an a vaginal hysterectomy or a laparoscopic hysterectomy. In addition, there’s an increased chance of scarring in the abdominal area. However, the incision is made below the “bikini line”.