5. Conclusions
The working group agreed that a routine recommendation should favour minimal intervention in the absence of a clear benefit in favour of the intervention. Given that the systematic review of the literature indicated that routine vaginal packing after vaginal hysterectomy (with or without colporrhaphy) offered no clear benefit, we advise against routinely performing this procedure. However, vaginal packing may still be considered when a surgeon determines that haemostasis cannot be ensured.