Basic technique of vaginal hysterectomy

Brought to you by the Society of Gynecologic Surgeons. In this video, the authors outline and demonstrate 7 reproducible steps to perform a simple total vaginal hysterectomy. Procedures shown are cervicovaginal incision, anterior dissection, anterior colpotomy, posterior colpotomy, division of uterosacral ligaments, cardinal ligament and uterine artery ligation, and ligation of the tubo-ovarian round ligament. Also described are techniques to safely use an advanced bipolar vessel sealing device as an alternative to traditional suture technique for pedicle ligation.