Currently, energy sources are used in the form of either monopolar current or harmonic scalpel for colpotomy in total laparoscopic hysterectomy. This is associated with lateral thermal damage to adjacent organs such as the urinary bladder or lower ureter. The risk of scar dehiscence with this method is higher than that for abdominal hysterectomy. The objective of this new technique is to reduce these complications. The colpotomy is done using a blade and scissors through the vaginal tube without using any energy source. The resulting edge of the cut is sharper than that done by cautery, making it easy to pick full thickness of vagina. Colpotomy with this method is quicker than when using an energy source. There are also no toxic fumes thus visibility is not affected.


colpotomy, energy source, laparoscopic hysterectomy

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The author reports no conflict of interest.

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Department of Obstetrics and Gynecology, The University of Iowa Hospitals and Clinics

Recommended Citation

Rotithor PR. Colpotomy in total laparoscopic hysterectomy without using an energy source: a new approach. POG in Press 2014 August 7; Article 1 [ 10 p.]. Available from: http://ir.uiowa.edu/pog_in_press/. Free full text article.