Vault Prolapse, Vaginal Clinical Trial
Official title:
Comparison of the Vault Prolapse Rate After Vaginal Hysterectomy With or Without Residual Uterine Ligament Ligation
To evaluate the post-hysterectomy vault prolapse (PHVP) rates performed using different methods of vaginal total hysterectomy (VTH).
Objective: To evaluate the post-hysterectomy vault prolapse (PHVP) rates performed using
different methods of vaginal total hysterectomy (VTH).
Methods: A computer search identified a total of 251 women who underwent VTH with/without
concomitant surgeries between January 1986 and December 2001 in a single center. Thirty-eight
women were excluded due to not only a vaginal approach. Of the remaining 213 women, 129 and
84 underwent VTH via the Tsuzi method with residual uterine ligament ligation (ligations
group) and traditional VTH (without ligations group), respectively. The χ2 and Mann-Whitney U
tests were applied to compare the data. The cumulative percentages of women without PHVP were
calculated over time and compared using Kaplan-Meier curves and log-rank tests. A p value of
less than 0.05 was considered statistically significant.
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