Endoscopic Vaginal Hysterectomy Clinical Practice Guidelines (ISGE, 2020)

International Society for Gynecologic Endoscopy

This is a quick summary of the guidelines without analysis or commentary. For more information, go directly to the guidelines by clicking the link in the reference.

September 02, 2020

In June 2020, the International Society for Gynecologic Endoscopy (ISGE) published their recommendations for vaginal hysterectomy for a non-prolapsed uterus.[1]

Vaginal hysterectomy is the route preferred by the ISGE for the removal of a non-prolapsed uterus. The ISGE recommendations for the successful performance of this procedure are as follows:

A circular incision at the level of the cervicovaginal junction is recommended.

The posterior peritoneum should be opened first.

Clamping and cutting the uterosacral and cardinal ligaments before or after obtaining access into the anterior peritoneum is recommended.

Routine closure of the peritoneum during vaginal hysterectomy is not recommended.

Vertical or horizontal closure of the vaginal vault following vaginal hysterectomy is recommended.

The insertion of a vaginal plug after vaginal hysterectomy is not recommended.

For more information, please go to Vaginal Hysterectomy.

For more Clinical Practice Guidelines, please go to Guidelines.

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