Laparoscopic Versus Vaginal Approach Closure Complications

Egymedicalpedia

Status: Enrolling

Conditions: Vaginal Vault Prolapse

Treatments: Procedure: Laparoscopic and Vaginal Hysterectomy

Study type: Interventional

Funder types: Industry

Identifiers

NCT05960292

Mohamed Adel Hussien

Details and patient eligibility

About

Hysterectomy is considered as a common operation in Gynecology. Hysterectomy could be made by vaginally, laparoscopically or abdominally. The American Congress of Obstetricians and Gynecologist advises the use of a minimally invasive technique for the sake of women and to decrease hospital stay and costs.

Full description

Laparoscopic hysterectomy (LH) is a minimally invasive operation that could be made when vaginal hysterectomy is not accessible due to anatomical problems.

Vaginal cuff dehiscence (VCD) is a severe adverse event and occurs more frequently after total laparoscopic hysterectomy (TLH) compared with abdominal and vaginal hysterectomy.

The study shows effects of the laparoscopic approach versus the vaginal route for the management of vaginal cuff closure during total laparoscopic hysterectomy on female sexual function.

Enrollment: 56 estimated patients

Sex: Female

Ages: 40 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Patients who undergo laparoscopic hysterectomy
2. Age ranged from 40 to 80 years.
3. Patients suffering from chronic pelvic inflammatory disease (PID)
4. Dysfunctional uterine bleeding
5. Adenomyosis
6. Endometriosis
7. Fibroid
8. Endometrial hyperplasia
9. Benign ovarian cyst

Exclusion criteria

• Patients with known malignancy

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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56 participants in 2 patient groups

Vaginal Hysterectomy (Group)

Active Comparator group

Description:

About 28 female patients will have vaginal vault closure by vaginal approach

Treatment:

Procedure: Laparoscopic and Vaginal Hysterectomy

Abdominal Laparoscopic Hysterectomy (Group)

Active Comparator group

Description:

About 28 female patients will have vaginal vault closure by Abdominal Laparoscopic approach

Treatment:

Procedure: Laparoscopic and Vaginal Hysterectomy