Abdominal Hysterectomy
Conditions
Keywords
Vaginal Manipulator
Brief summary
If a vaginal manipulator is used for abdominal hysterectomy, the vagina can be cut and separated from the cervix without cutting the Cardinal and Sacrouterine ligaments and protecting the top of the vaginal tissue (Portio vaginalis). In this way, both the shortening of the vagina and the prolapse of the vaginal cuff can be prevented. In addition, the duration of hysterectomy surgery is significantly shortened.
Detailed description
In a classical abdominal hysterectomy, the Cardinal ligaments and the Sacrouterine ligaments are cut before the uterus leaves the vagina, and the vaginal cuff is cut deeper in the vagina over the cervix and separated from the vagina. During this procedure, the vaginal tissue in the Portio vaginalis comes out and causes a loss of vaginal length. If a vaginal manipulator is used for abdominal hysterectomy, the vagina can be cut and separated from the cervix without cutting the Cardinal and Sacrouterine ligaments and protecting the top of the vaginal tissue (Portio vaginalis). In this way, both the shortening of the vagina and the prolapse of the vaginal cuff can be prevented. In addition, the duration of hysterectomy surgery is significantly shortened.
Interventions
PROCEDUREManipulation of vagina during abdominal hysterectomy operation
The manipulator applied vaginally prevents unnecessary vaginal length loss by ensuring that the vaginal cuff is cut from the top point.
PROCEDUREClassical conventional abdominal hysterectomy operation
Classical conventional abdominal hysterectomy operation without any manipulation from the vagina.
Sponsors
Kocaeli University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Women who underwent hysterectomy due to abnormal uterine bleeding * Myoma uteri, little than 5 cm which does not disrupt the uterine anatomy
Exclusion criteria
* Myoma uteri, which disrupts the uterine anatomy * Intra-abdominal adhesions * Endometrial intraepithelial neoplasia * Endometrial cancer * Ovarian cancer * Cervical cancer
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Vaginal Length Difference | Preoperative one hour and postoperative one hour | The difference between preoperative and postoperative vaginal length will be calculated |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Operation time | One to two hours | Skin-to-skin operation time and the time frame from the beginning of the hysterectomy to the moment when the uterus leaves the vagina. |
Countries
Turkey (Türkiye)
Outcome results
None listed