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Surgical technique. (A) Apical colpotomy at the level of the scar of the previous hysterectomy; (B) Douglas pouch opening; (C) triple high uterosacral ligament transfixion (image was acquired for didactical purpose through a laparoscopic camera by vaginal route to better demonstrate the USL transfixion); (D) aspect after the passage of the suspending sutures through the vaginal apex, just before sutures tighten.
