Gynecologic Surgical Procedures
Conditions
Keywords
Laparoscopy, Hysterectomy, Suture Techniques
Brief summary
Total laparoscopic hysterectomy is a procedure that is performed each time more often. One of the problems described for this procedure has to do with the closure of the vaginal vault, increased surgical time when suture laparoscopically, complications such as dehiscence of the dome, infections, hematomas and dyspareunia. A prospective study will be conducted to compare two different techniques for closure of the vaginal vault.
Interventions
Close vaginal vault 2 planes with 2/0 barbed suture in patients with total laparoscopic hysterectomy in benign pathology
Close vaginal vault 2 planes with 0/0 Vicryl suture in patients with total laparoscopic hysterectomy in benign pathology
Sponsors
Study design
Eligibility
Inclusion criteria
* All patients scheduled for total laparoscopic hysterectomy without other simultaneous procedures , for benign causes , who were agree to participate in the trial and give their written consent. * Patients ASA (American Society of Anesthesiologists) 1 and 2 * Patients who are able to communicate by telephone and answer questions
Exclusion criteria
* Patients with coagulation disorders, chronic use of corticosteroids, COPD (chronic obstructive pulmonary disease), collagen diseases, diabetes. * Endometriosis III / IV * Patients who can not be reached by phone
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cuff closure time | 20 minutes | time spend for vaginal Cuff closure (in minutes) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Intra or postoperative complications | 10 days | Clinical follow-up to complications during the surgery and ten days after, through questions and clinical exam. |
| Dyspareunia | 12 weeks | the visual scale was used to analyze the dyspareunia |
Countries
Colombia