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Updated: Jan 27, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
No. 377-Hysterectomy for Benign Gynaecologic Indications
Jackie Thurston1, Ally Murji2, Sarah Scattolon3
1Calgary, AB.
This guideline assists physicians in making decisions for hysterectomy in women with benign gynecologic conditions. It reviews surgical approaches and concurrent procedures to enhance patient care quality.
Area of Science:
- Gynaecology
- Surgical Practice
Background:
- Hysterectomy is a common surgical procedure for benign gynecologic indications.
- Current surgical practices for hysterectomy exhibit significant variation among physicians.
Purpose of the Study:
- To provide evidence-based recommendations for physicians performing hysterectomy for benign indications.
- To assist in decision-making regarding surgical approach and concurrent procedures.
Main Methods:
- A comprehensive literature search was conducted in PubMed, Medline, and Cochrane Library databases.
- Search terms included various hysterectomy types (vaginal, laparoscopic, robotic) from 2012-2017.
- Guideline content was developed and validated by experts using the GRADE methodology.
Main Results:
- The guideline outlines preoperative and perioperative considerations for hysterectomy.
- It aims to standardize and improve the quality of care for women undergoing this procedure.
Conclusions:
- Recommendations are provided to guide physicians in hysterectomy decision-making.
- The guideline promotes optimal surgical practice for benign gynecologic conditions.
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