Abstract
Minimally invasive hysterectomy is becoming a very common procedure, although significant concerns about the procedure voiced by many gynecologists are twofold: 1) The ability to confidently close the vaginal cuff laparoscopically and 2) The fear of cuff dehiscence. This has resulted in many practitioners closing the cuff vaginally, which increases operating time, or converting to LSH. We have developed a vaginal cuff closure technique following TLH that incorporates the same surgical principles as closure for an abdominal hysterectomy, is easy to learn and master, and has a low rate of complications/cuff dehiscence.
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