When the complete uterus with cervix is removed, a vaginal cuff is created to close the top of the vagina. The stitches used to create this cuff are usually absorbable and may begin to disintegrate as early as three weeks after surgery, though it may be as long as three to four months after surgery before they have dissolved.
The vaginal cuff can either be created vaginally or laparoscopically. When the cuff is created vaginally, it may be more likely that some of the dissolving stitches will be seen as knots will be on the vaginal side of the cuff.
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