Both total hysterectomy minimally invasive and open can be done cleanly, just with a different surgical approach into the abdomen and a different way of removing the uterus.
The general surgical approach for total hysterectomy can be via transabdominal, laparoscopic, or transvaginal routes. In general, transabdominal total hysterectomy is slightly more invasive and the uterus is removed through an incision in the abdomen.
Laparoscopic total hysterectomy can be performed with only 4 small incisions of 0.5-1cm, and the uterus can be removed vaginally, rotationally and then through a small abdominal incision, which is relatively less traumatic.
For total uterine excision whether minimally invasive, or open, the purpose of the operation can be achieved, can be done clean.
There are strict indications and contraindications for minimally invasive and open total hysterectomy. When the uterus needs to be removed due to organic pathology, the appropriate surgical procedure should be chosen after the doctor evaluates the condition.