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All subscribers to ACOG UPDATE audio CDs will also have free access and ability to download the same program in MP3 format. They can also download a PDF file of the complete transcript with Pre- and Post-test Questions and a List of Supplementary Reading Materials.

Volume 41, Issue 8
Publication date: February 1, 2016
Expiration date: February 1, 2019

Vaginal Hysterectomy: What's Old is New Again
Eric R. Sokol, MD (Moderator)
Associate Professor of Obstetrics and Gynecology; Associate Professor of Urology by Courtesy; Co-Chief, Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California; Board, Society of Gynecologic Surgeons; Advisor, Board, American Association of Gynecologic Laparoscopists; Scientific Program Committee, American Urogynecologic Society

John B. Gebhart, MD
Professor of Obstetrics and Gynecology and Surgery, Mayo Clinic, Rochester, Minnesota; Secretary/Treasurer, Society of Gynecologic Surgeons

Andrew J. Walter, MD
Director of Urogynecology, Kaiser Permanente North Valley, Sacramento and Roseville, California; President, Society of Gynecologic Surgeons

Learning Objectives
After completing this activity, the physician should be better able to:
1. Discuss reasons for the decline in the use of vaginal hysterectomy compared to other modes of hysterectomy.
2. Describe systemic changes that could be used to increase the utilization of the vaginal approach for hysterectomy.
3. List traditionally taught relative contraindications to vaginal hysterectomy and steps that can be taken to overcome these relative contraindications.
4. Define an algorithm that can be used to select patients who may be appropriate candidates for vaginal hysterectomy.
5. Describe steps that can be taken surgically to improve exposure and facilitate visualization and safe completion of vaginal hysterectomy.
6. Discuss society position statements and recommendations regarding the choice of route of hysterectomy.


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