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  >  John P.A. George, M.D., Former Director, Gynecologic Endoscopy, Washington Hospital Center, Washington, DC
 
 
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Gynecologic Endoscopy
Laparoscopy and Hysteroscopy / Normal and Abnormal Female Anatomy

Total Laparoscopic Hysterectomy
(Continued)

Left side and cut the vagina to separate the cervix from the vagina.    Left side and cut the vagina to separate the cervix from the vagina.
Following dissection to the level of the vagina on the right side, I return to
 the left side and cut the vagina to separate the cervix from the vagina.
 

I then grasp and pull the cervix and corpus into the vagina.    I then grasp and pull the cervix and corpus into the vagina.

I then grasp and pull the cervix and corpus into the vagina.
 

I maintain the corpus in the vagina in order to accomplish the next step.
I maintain the corpus in the vagina in order to accomplish the next step.
 

I suture the vagina and close the pelvic peritoneum over it.    I suture the vagina and close the pelvic peritoneum over it.
I suture the vagina and close the pelvic peritoneum over it.
 

I use a special device to close the trocar site near the belly button.
I use a special device to close the trocar site near the belly button.

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