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e patient outcomes, surgeons employ the closure technique that they are best accustomed to. VCD is a rare but serious complication of LH. Despite previous studies, we did not find a significant difference in VCD or intra- and perioperative complications by route of cuff closure or surgeon volume. Given the lack of evidence favoring one route of cuff closure, we recommend that, to optimize patient outcomes, surgeons employ the closure technique that they are best accustomed to. To describe the surgical treatment of a uterine isthmoce
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