|November 2010 · Vol. 22, No. 11
The difficult vaginal hysterectomy:
5 keys to success
Challenges can be overcome by ensuring overall surgical expertise, adequate exposure, proper entry into the anterior cul-de-sac, good mobility, and competent morcellation
To help avert bladder injury during entry into the anterior culde-sac in a patient who has a history of cesarean delivery, stay on the uterus during dissection into the vesicovaginal space
Dr. Occhino is Assistant Professor in the Department of Obstetrics and Gynecology at the University of Missouri in Columbia, Mo.John
Dr. Gebhart is Associate Professor in the Department of Obstetrics and Gynecology, Division of Gynecologic Surgery, and Fellowship Program Director at the Mayo Clinic in Rochester, Minn.
Drs. Occhino and Gebhart report no financial relationships relevant to this article.