(Video Poster 01) Surgical Tips for Anterior and Posterior Colpotomy in Vaginal Hysterectomy

Objectives: This instructional video aims to: (1) Briefly highlight the benefits of vaginal hysterectomy over total laparoscopic hysterectomy (TLH) or total abdominal hysterectomy (TAH), and (2) Provide practical tips and tricks for performing anterior and posterior colpotomies effectively in vaginal hysterectomy.

Methods: This video outlines the benefits of vaginal hysterectomy, including its minimally invasive nature, cost-effectiveness, and lower risk of adhesion formation. It highlights critical patient selection factors such as uterine size, uterine descent, and risk of pelvic adhesive disease. The step-by-step surgical approach to posterior and anterior colpotomy is demonstrated, emphasizing optimal positioning, identification of anatomical landmarks, incision techniques, and hemostatic strategies. Posterior colpotomy techniques include hydro-dissection, tissue manipulation, and safe entry into the peritoneum, while anterior colpotomy techniques focus on bladder protection, mobilization, and accurate incision placement. Common pitfalls and troubleshooting strategies are discussed to enhance surgical safety and efficiency.

Clinical Relevance: Mastery of anterior and posterior colpotomy techniques is essential for improving surgical outcomes in vaginal hysterectomy. This video serves as a valuable educational resource for surgeons aiming to refine their approach, reduce complications, and optimize patient recovery. Proper technique, anatomical awareness, and strategic troubleshooting can significantly enhance procedural success in vaginal hysterectomy.