Abstract
Vaginal hysterectomy is the preferred route of hysterectomy for benign gynaecological disease. Unfortunately, rates of vaginal hysterectomy are declining due to decreasing training opportunities and provider comfort. This video reviews important steps of vaginal hysterectomy and provides tips to improve surgeon confidence. It discusses how to select candidates for vaginal hysterectomy including commonly misquoted contraindications. An approach, using the physical exam as guidance, is given for the anterior and posterior colpotomy and video footage is used to review how to troubleshoot the anterior entry.
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