Vaginal excision of cervical stump

If the cervix, left behind at subtotal hysterectomy, requires removal, the vaginal route is probably the safest, and least traumatic. Abdominal dissection is often difficult and a laparoscopic approach is hazardous as the anatomical landmarks are not clear. Five cases are described, to illustrate the surgical technique. As there is an increase in subtotal hysterectomy in some centres, removal of the residual cervix may be required more frequently.