[Vaginal hysterectomy leniens: intrafascial technique]

Area of Science:

• Gynecology
• Surgical Techniques

Background:

• Vaginal hysterectomy is performed less frequently despite standardized methods.
• There is a need for simplified and safer surgical approaches.

Purpose of the Study:

• To describe a new intrafascial technique for vaginal hysterectomy.
• To highlight the simplicity and safety benefits of this variation.

Main Methods:

• The technique involves an intrafascial variation of extrafascial vaginal hysterectomy.
• Key steps include Strassmann's incision, uterine body delivery, broad ligament ligation, and intrafascial clamping of the cardinal ligament.

Main Results:

• The described intrafascial technique is simple to perform.
• It effectively avoids injury to the ureters.
• Successful execution leads to minimal postoperative pain and reduced hospitalization.

Conclusions:

• This intrafascial vaginal hysterectomy technique offers a simplified and safe alternative.
• It has the potential to decrease patient recovery time and hospital stays.