Objective: The computer analysis of indications, operating approaches and techniques in 1085 women undergoing hysterectomy was performed on our clinic. The evolution of indications, diagnosis and following operating approaches from 1997 to 1999 were analysed. Matherials and Methods: Retrospective computer data analysis of operating protocols using software PFANNENSTIEL 1.2. Results were obtained throw filtering archive file™s database. Results: Type of hysterectomy: abdominal 65%, vaginal hysterectomy 15%, radical hysterectomy 12%, Laparoscopic assisted vaginal hysterektomy (LAVH) 8%. Type of diagnosis: uterine leiomyomas 46%, metrorrhagia 25%, urogynaecological diagnosis 25%, malignant tumors 19 %, pelvic inflammatory disseases (PID) 9%, pelvalgia 4%, combined diagnosis 28%. Metrorrhagia - operating approaches - abdominal hysterectomy 80%, LAVH 17%. Myomatosis - operating approaches - abdominal hysterectomy 83%, LAVH 13%, vaginal hysterectomy 4%. Pelvalgia - operating approaches - abdominal hysterectomy 68%, LAVH 28%, vaginal hysterectomy 3%. PID - operating approaches - abdominal hysterectomy 75%, LAVH 23%. Malignant tumors-operating approaches - radical hysterectomy sec. Wertheim or sec. Te-Linde 65%, abdominal hysterectomy 35%. Urogynaecological diagnosis - operating approaches - vaginal hysterectomy 59%, abdominal hysterectomy 37%. Conclusion: The reduction of abdominal approach towards hysterectomy by women with non oncological diagnosis since 1997 to 1999 (1997 - 85.8%, 1998 - 69.9%, 1999 - 53.7%) and increase of vaginal hysterectomy (1997 - 10.4%, 1998 - 14.6%, 1999 - 17.5%) and LAVH was noted. Steep increase of LAVH (1997 - 0.7%, 1998 - 5.4%, 1999 - 13.0%) shows the introduction of this method into routine spectrum of operating techniques. Indication spectrum of diagnosis leading to the hysterectomy within three years did not change. Reduction of metrorrhagia (1997 - 26.9%, 1998 - 28.1%, 1999 - 16.9%) and increase of malignant tumors (1997 - 11.2%, 1998 - 16.0%, 1999 - 22.1%) and PID (1997 - 3.0%, 1998 - 10.3%, 1999 - 8.6%) was not significant.

        Key words: hysterectomy, indication, operating approaches, operating techniques