Related Experiment Video
Updated: Feb 11, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Use of Vessel-Sealing Devices during Vaginal Hysterectomy
Emily R W Davidson1, Rosanne Kho1
1OB/GYN and Women's Health Institute, Cleveland Clinic, Cleveland, Ohio.
Study Objective:
To demonstrate the proper use of vessel-sealing devices during vaginal hysterectomy.
Design:
Educational video (Canadian Task Force classification level III).
Setting:
University hospital.
Intervention:
The video reviews the principles on the use of energy in minimally invasive surgery. We focus on how vessel-sealing devices function and the benefits of their use in difficult vaginal hysterectomy. The video explains the 2 major types of complications, inadequate vessel sealing and undesired thermal injury, and demonstrates techniques to avoid these complications.
Measurements And Main Results:
Laboratory, intraoperative, and cadaveric recordings demonstrate proper use and the complications that may arise in the setting of improper use.
Conclusion:
Vessel-sealing devices may be a useful tool for surgeons performing vaginal hysterectomy. This video demonstrates their use and underlines the importance of understanding the principles of energy devices and their proper usage in surgery.
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