Uterine Diseases
Conditions
Keywords
TLH, Bakay purse string
Brief summary
To compare vaginal cuff closure via Bakay purse string with vaginal cuff closure via vaginal route with continuous locked suturing after total laparoscopic hysterectomy for benign lesions.
Detailed description
The objective of the present study is to compare 2 different methods for vaginal cuff closure after total laparoscopic hysterectomy for benign lesions regarding operative time, vaginal length, vaginal cuff dehiscene, hematoma formation. The first method is the Bakay purse string and the second is the closure of the vault via vaginal route with continuous locked suturing.
Interventions
PROCEDUREBakay purse string
After developing the bladder flap, Vicryl polyglactin 910 sutures (Ethicon, Inc, Somerville, NJ) will be placed on the line between the cervicovaginal junction and the bladder starting at either 4 to 3 o'clock or 8 to 9 o'clock, as anchor sutures. Paying attention not to get closer than 1 cm to the bladder, the first suture will be passed from 4 o'clock to 3 o'clock and continued circumferentially in a full-thickness purse string fashion through 3, 1, 10, 8, 7, 5 o'clock completing a circle while including both uterosacral ligaments.
PROCEDURECuff closure via vaginal route group
After the uterus will be removed via vaginal route, vaginal cuff ends will be grasped via vaginal approach and sutured continuous locked sutures using Vicryl polyglactin 910 sutures in one layer.
Sponsors
Mansoura University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
FEMALE
Age
30 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Benign uterine lesions e.g fibroid, adenomyosis,…etc. * Patient acceptance to undergo laparoscopic hysterectomy.
Exclusion criteria
* Gynecological malignancy. * Low corporeal myoma obsecuring cervicovaginal junction. * History of extensive abdominal surgery other than cesarean section.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Total operative time | From start to end of operation | The time between placement of the operative ports and successful closure of the vaginal cuff |
| Operative time for colpotomy and vaginal cuff closure | From start colpotomy to end of vaginal cuff closure | The time between first anchor suture placement and successful closure of the vaginal cuff |
Countries
Egypt
Contacts
Primary ContactAhmed M Elashry, MSc
Backup ContactMohamed S Abdelhafez, MD
Outcome results
None listed