A Report on More than 10,000 Vaginal Hysterectomies Performed Without Ligation of the Paracervical Ligaments

Abstract

TVH without ligation of the paracervical ligaments is a safe and convenient method that has very few complications and that can be utilized by many gynecologists.

Urological injuries during hysterectomies: A 6‐year review

“…Kudo et al . reviewed 10 016 vaginal hysterectomies carried out without ligation of Para cervical ligaments, over a period of 42 years, and found the procedure to be quite safe, with a low bladder injury incidence of 0.47% 7 . They also found no ureteric injuries during vaginal hysterectomy.…”

“…The incidence of urinary tract injury associated with gynecologic surgery is low. The incidence of bladder injury in recent studies varies from 0.13% 5 to 0.58% 6 for abdominal hysterectomy and 0.47% 7 to 1.86% 6,8 for vaginal hysterectomy. The incidence of bladder injury in our series of 0.26% for abdominal hysterectomy and 0.3% for vaginal hysterectomy compares well with these studies.…”