[Transvaginal hysterectomy. Sub-serous technic]

Intramyometrial coring is a useful method to reduce the size and increase the accessibility to the fundus uteri during vaginal hysterectomy, avoiding unnecessary traction on the utero-ovarian pedicles. A circumferential incision of the isthmus, 5 millimeters deep, gives access to an avascular plane between the myometrial mass and the superficial muscular layer and serosa of the uterus. Coring is easy, safe, non-hemorrhagic and allows the extension of indications of the vaginal route for hysterectomy.