Sailofsky S, Darin C, Alfahmy A, et al. - Surgical outcomes between total laparoscopic hysterectomy and total vaginal hysterectomy with uterine weight greater than 250 g were compared via performing a retrospective cohort study using data from American College of Surgeons’ National Quality Improvement Project Hysterectomy Specific Database. Researchers identified a total of 1,870 total vaginal hysterectomies that were matched to 3,740 total laparoscopic hysterectomies. Outcomes suggest no association of total vaginal hysterectomy with an increased composite risk of major surgical morbidity or other adverse surgical outcomes among patients matched by uterine size and preoperative characteristics.