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Vaginal cuff related stories

The incidence of posthysterectomy vaginal prolapse varies from 0. In transvaginal or transabdominal hysterectomy, it is necessary to use the pelvic supporting structures uterosacral and cardinal ligaments to support the vaginal cuff. Any successful repair will restore normal anatomy and a functioning vagina. In this chapter, various principles of vaginal fixation during hysterectomy are discussed, including attaching the vagina to the pelvic supporting structures, correcting, or preventing an obvious or potential enterocele, and performing a colpopexy, both vaginal and abdominal. The normal vaginal axis lies almost horizontally and superior to the levator plate.

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