There are to approaches to vaginal hysterectomy ? laparoscopic or vaginal surgery. The method used does not only depend on the skillness of the surgeon.
Unfortunately, there are sometimes non-medical reasons in play that result in laparoscopy preference. The hospitals are paid for number of operations and laparoscopy is better paid than vaginal hysterectomy.
The doctors and hospitals are supported by the firms interested in the endoscopic instruments business. They are their good clients and they are able to find a reasonable explanation for preference of laparoscopic hysterectomy to vaginal surgery.