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Review article
peer-reviewed

Vaginal Cuff Closure in Minimally Invasive Hysterectomy: A Review of Training, Techniques, and Materials



Abstract

Hysterectomy is one of the most common surgeries performed each year and can be indicated for many gynecologic conditions. The development of minimally invasive surgery has transformed this procedure, resulting in improved outcomes, superior cosmesis, and quicker return to normal function. Vaginal cuff closure is a critical component of hysterectomy, with many variations in surgical technique and materials. This review provides an overview of intracorporeal suturing and knot-tying techniques at the level of a junior resident in obstetrics and gynecology and describes several validated models that have been developed to test resident skill level in vaginal cuff closure. We also provide a review of the literature regarding vaginal cuff closure techniques and suture materials, including knotless barbed sutures. Finally, a brief discussion of single-site surgery, the latest development in minimally invasive hysterectomy, will be provided. We hope to provide a better understanding of vaginal cuff closure for residents in the field of obstetrics and gynecology.



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Review article
peer-reviewed

Vaginal Cuff Closure in Minimally Invasive Hysterectomy: A Review of Training, Techniques, and Materials


Author Information

Katherine Smith Corresponding Author

Medical Education, UCF College of Medicine

Aileen Caceres

Minimally Invasive Gynecology, UCF College of Medicine


Ethics Statement and Conflict of Interest Disclosures

Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Acknowledgements

The authors would like to thank Mr. Ryan Dickerson for his exceptional work in developing the graphic art used in this paper and Ms. Ann Kennedy for her work in scheduling and coordinating meetings between the authors.


Review article
peer-reviewed

Vaginal Cuff Closure in Minimally Invasive Hysterectomy: A Review of Training, Techniques, and Materials


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Review article
peer-reviewed

Vaginal Cuff Closure in Minimally Invasive Hysterectomy: A Review of Training, Techniques, and Materials

Katherine Smith">Katherine Smith , Aileen Caceres">Aileen Caceres

  • Author Information
    Katherine Smith Corresponding Author

    Medical Education, UCF College of Medicine

    Aileen Caceres

    Minimally Invasive Gynecology, UCF College of Medicine


    Ethics Statement and Conflict of Interest Disclosures

    Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

    Acknowledgements

    The authors would like to thank Mr. Ryan Dickerson for his exceptional work in developing the graphic art used in this paper and Ms. Ann Kennedy for her work in scheduling and coordinating meetings between the authors.


    Article Information

    Published: October 11, 2017

    DOI

    10.7759/cureus.1766

    Cite this article as:

    Smith K, Caceres A (October 11, 2017) Vaginal Cuff Closure in Minimally Invasive Hysterectomy: A Review of Training, Techniques, and Materials. Cureus 9(10): e1766. doi:10.7759/cureus.1766

    Publication history

    Received by Cureus: August 02, 2017
    Peer review began: August 23, 2017
    Peer review concluded: October 09, 2017
    Published: October 11, 2017

    Copyright

    © Copyright 2017
    Smith et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

    License

    This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Hysterectomy is one of the most common surgeries performed each year and can be indicated for many gynecologic conditions. The development of minimally invasive surgery has transformed this procedure, resulting in improved outcomes, superior cosmesis, and quicker return to normal function. Vaginal cuff closure is a critical component of hysterectomy, with many variations in surgical technique and materials. This review provides an overview of intracorporeal suturing and knot-tying techniques at the level of a junior resident in obstetrics and gynecology and describes several validated models that have been developed to test resident skill level in vaginal cuff closure. We also provide a review of the literature regarding vaginal cuff closure techniques and suture materials, including knotless barbed sutures. Finally, a brief discussion of single-site surgery, the latest development in minimally invasive hysterectomy, will be provided. We hope to provide a better understanding of vaginal cuff closure for residents in the field of obstetrics and gynecology.



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Create a free account to continue reading this article.

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Katherine Smith

Medical Education, UCF College of Medicine

For correspondence:
katie.smith4691@knights.ucf.edu

Aileen Caceres

Minimally Invasive Gynecology, UCF College of Medicine

Katherine Smith

Medical Education, UCF College of Medicine

For correspondence:
katie.smith4691@knights.ucf.edu

Aileen Caceres

Minimally Invasive Gynecology, UCF College of Medicine