Standard Approach

  • Mitchel S. Hoffman
  • William N. Spellacy


For some women it is readily apparent that hysterectomy can be accomplished transvaginally. Providing that one adheres to some basic principles, this approach can be used with a variety of techniques. As a prelude to more difficult aspects of vaginal hysterectomy, this chapter describes a general approach to the relatively straightforward case. As is emphasised throughout this text, versatility in techniques rather than a single standard approach is of importance for the vaginal hysterectomy. It provides the surgeon with the adaptability to utilise a surgical approach that is best suited to the individual case. Greater versatility and adaptability of the surgeon are especially important elements in successfully managing the more technically difficult types of vaginal hysterectomy.


Obstet Gynecol Vaginal Hysterectomy Vaginal Vault Uterosacral Ligament Broad Ligament 
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Suggested Reading

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Copyright information

© Springer Science+Business Media New York 1995

Authors and Affiliations

  • Mitchel S. Hoffman
    • 1
  • William N. Spellacy
    • 1
  1. 1.Department of Obstetrics-GynecologyUniversity of South Florida, College of MedicineTampaUSA

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