entitled “Effects of Electrosurgery and Vaginal Closure

Technique on Postoperative Vaginal Cuff Dehiscence,” regarding the rate of vaginal cuff dehiscence after laparo-scopic hysterectomy. The issue is extremely important because vaginal cuff breakdown can cause severe post-operative morbidity and impair patients ’ quality of life. In their article Fanning et al1 compare 2 different modal-ities of vaginal cuff closure at the end of an otherwise totally laparoscopic procedure: transvaginal versus lapa-roscopic suturing of the vault. The results of their inves-tigation showed that the rate of vaginal cuff dehiscence is significantly higher when closure is accomplished laparo-scopically. The study by Fanning et al1 adds further evidence to the results of a recent meta-analysis published by our group and including 13 000 patients who underwent endo