CanSAGE 2022 | 21 – Tips and Tricks for Vaginal Hysterectomy
Vaginal hysterectomy is the preferred route of hysterectomy for benign gynecological 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. Steps to improve visualization for vaginal salpingectomy are discussed. Finally, laparoscopically assisted vaginal hysterectomy and how to divide the case between laparoscopic and vaginal approaches is reviewed. This video can serve as an educational resource for trainees and early-career surgeons to improve their knowledge and comfort in performing vaginal hysterectomy.