*5.1.2.10 Irrigation and hemostasis*

The pelvis is irrigated with warm saline. We should ensure carefully the vascular pedicles for complete hemostasis. Suture ligation or electrocautery is used to control bleeding in small areas. The bladder, ureter, and rectosigmoid colon should be checked to confirm that they are intact. Adhesion formation could be prevented by anti-adhesive material.

**Figure 12.** *Vaginal stump closure with no. 1 PGA.*
