Gauze is placed in the vaginal stump after laparoscopic removal of the uterus for the purpose of surgical marking and hemostasis and will be removed either immediately or within 24 hours at the latest after the operation, otherwise infection is likely to occur.
Laparoscopic removal of the uterus vaginal tamponade serves two main purposes. One, it can be used as a surgical marker to indicate that the surgical site has reached the target requirement and it is time to suture the vaginal stump. Secondly, vaginal gauze tamponade has the purpose of compression hemostasis.
For these reasons, laparoscopic removal of the uterus with vaginal tamponade gauze will result in removal of the gauze either promptly or at the latest 24 hours after surgery.
Laparoscopic removal of the uterus is currently one of the most commonly used methods of hysterectomy. Its advantages are small incision, no need to open the abdomen, less postoperative scar remains, especially obese patients are more suitable for laparoscopic surgery, which can avoid the fat liquefaction brought about by delayed healing and other adverse consequences of the incision, which is very favorable to the healing of the incision.
With the clinical application of minimally invasive techniques, laparoscopic hysterectomy is gradually replacing traditional open surgery. Nevertheless, laparoscopic surgery still has its own scope of application, so the doctor will choose the appropriate surgical method according to each patient’s individual situation.