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Vaginal Cuff Dehiscence Following Total Laparoscopic Hysterectomy: Laparoscopic vs. Transvaginal Cuff Closure

Surgical Wound Dehiscence Clinical Trial

Official title:
Randomized Clinical Trial About Vaginal Cuff Dehiscence Following Total Laparoscopic Hysterectomy: Laparoscopic vs. Transvaginal Cuff Suturing

Clinical Trial Summary

Post-hysterectomy vaginal cuff dehiscence is a rare but threatening complication.

The investigators will compare transvaginal versus laparoscopic closure of the vaginal vault at the end of a total laparoscopic hysterectomy, in order which of these two modalities of suturing is associated with a lower risk of dehiscence.

Clinical Trial Description

A post-hysterectomy vaginal cuff dehiscence is defined as a partial or total separation of the margins of the vaginal cuff closure, following hysterectomy.

The recognition of the complication is made on a clinical basis. The investigators will compare the percentage of dehiscence among women who had transvaginal vs. laparoscopic suture of the vault.

The investigators will also compare the two modalities in terms of:

- duration of the vaginal closure

- risk of bleeding from the vaginal cuff

- risk of post-operative pelvic infection

- risk of re-operation

- dyspareunia

- total vaginal length

- vaginal cuff prolapse. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT02453165
Study type Interventional
Source Università degli Studi dell'Insubria
Contact
Status Completed
Phase N/A
Start date February 1, 2015
Completion date May 31, 2017
View Details
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