Introduction of a Novel Modification in Laparoscopic Hysterectomy: The Bakay Technique

The last step of laparoscopic hysterectomy when the surgeon attempts to remove the uterus and close the vaginal cuff (colpotomy and cuff closure) is considered the most challenging part of the operation, and the procedure involves a steep learning curve for surgeons. Although various methods have been described and reviewed on vaginal cuff closure in laparoscopic hysterectomy, this study is the first to describe placing a single continuous running purse-string suture using the uterine manipulator to maintain a safe distance between adjacent structures while facilitating the closure before colpotomy.