Vaginal Hysterectomy



Create a Hysterectomy Model for simulation of performing a vaginal hysterectomy to achieve the following educational objectives and surgical skills:

  • Identification of anatomical structures
  • Knowledge of steps in TVH including dissection of bladder from lower uterine segment, cervix and upper vagina
  • Flow of operation and assessment of forward planning, time and motion
  • Knowledge and use of instruments
  • Use of assistants
  • Knot tying/ligation


  • Do a thorough orientation of the room, equipment and simulators. This should take no more than 5-10 minutes
  • Alternatively, if you want to have the learners build the simulator, this will take 20-30 minutes
  • Set the stage for the simulation by doing the following:
    • Discuss the learning objectives for the day
    • Have the learners practice patient counseling by counseling you about the procedures
    • Explain that everything should either be verbalized or done as if this was an actual operating room setting

Simulator Assembly

Room Preparation

Lab Sequence


  1. You may utilize the vaginal hysterectomy checklist
  2. Review with the learner his or her performance

Contributing Authors

Johns Hopkins University School of Medicine Department of Gynecology and Obstetrics

  • Kristiina Altman, MD
  • Dayna Burrell, MD
  • Grace Chen, MD
  • Betty Chou, MD
  • Tola Fashokun, MD