Transection of the vagina during hysterectomy

With the ureters retracted laterally, the bladder is reflected inferiorly so that at least one-third to one-half of the vagina is visible anteriorly. The posterior rectal space is developed so that at least one-third to one-half of the vagina is visible posteriorly, the operative specimen is resected, and the cuff either closed or dealt with by running the edge.