Laparoscopic Versus Vaginal Cuff Closure During LH in Benign Gynecological Lesions

Mansoura University

Status: Enrolling

Conditions: Uterine Diseases

Treatments: Procedure: Cuff closure via vaginal route group; Procedure: Bakay purse string

Study type: Interventional

Funder types: Other

Identifiers

NCT05823935

MD.22.10.703

Details and patient eligibility

About

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.

Full 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.

Enrollment: 40 estimated patients

Sex: Female

Ages: 30 to 65 years old

Volunteers: No Healthy Volunteers

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.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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40 participants in 2 patient groups

Bakay purse string group

Active Comparator group

Description:

Bakay purse string will be used to close the vaginal cuff after total laparoscopic hysterectomy for benign lesions.

Treatment:

Procedure: Bakay purse string

Cuff closure via vaginal route group

Active Comparator group

Description:

Vaginal cuff closure via vaginal route with continuous locked suturing will be used to close the vaginal cuff after total laparoscopic hysterectomy for benign lesions.

Treatment:

Procedure: Cuff closure via vaginal route group