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Abstract
Hysterectomy is one of the most frequently performed major surgical procedures and, therefor, its consequences concern a large number of women (Silva-filho, 2006).
The literature is replete with examples showing vaginal hysterectomy to be associated with decreased hospital costs, decreased length of stay, fewer complications, and a shorter period of convalescence relative to abdominal and laparoscopically assisted vaginal hysterectomy (Levy and Emery, 2003).
The recent development of an electrosurgical bipolar vessel sealer (The LigaSure System; Valleylab, Boulder, CO) offers the vaginal surgeon a safe and effective alternative haemostatic method. The Ligasure system seals vessels up to 7 mm in diameter by denaturing collagen and elastin within the vessel wall and surrounding connective tissue (Heniford et al., 2001).