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The use of robot-assisted laparoscopic hysterectomy in the patient with a scarred or obliterated anterior cul-de-sac.

JSLS · 2005 · PMC3015598 · PMID 16121873

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a definite trendno p-value reported
4 Since the 1990s, a definite trend toward laparoscopic hysterectomy has been seen.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.