Prospective cohort study: vascular clamping of uterine artery combined with sacral ligament plication in complex hysterectomy

T The combined technique of uterine artery trunk closure with Hem-o-lok clips and uterosacral ligament plication significantly improved surgical efficiency without increasing major complications. Furthermore, in this prospective cohort, it was associated with a shorter operative time, less blood loss, and better pelvic floor and sexual function metrics at the 3-year follow-up compared to the conventional technique.