One hundred and twelve vaginal hysterectomies were perormed over a 2.8-year period. Five different techniques ofcuff closure were performed, and evaluated for their preservation of vaginal depth. We have concluded that all fivemethods are acceptable ways to close the vaginal cuff at the time of transvaginal hysterectomy as long as there is proper
vault support. Each surgical closure is pictorially illustrated. Morbidity was minimal, and vaginal dcpth was retained.
(C) 1987 The American College of Obstetricians and Gynecologists