Laparoscopic Versus Vaginal Approach Closure Complications of Vaginal Vault in Laparoscopic Hysterectomy
Overview
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Egymedicalpedia
- Enrollment
- 56
- Locations
- 1
- Primary Endpoint
- Post operative bleeding (defined as blood loss ≥500 cc)
Overview
Brief Summary
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.
Detailed 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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 40 Years to 80 Years (Adult, Older Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients who undergo laparoscopic hysterectomy
- •Age ranged from 40 to 80 years.
- •Patients suffering from chronic pelvic inflammatory disease (PID)
- •Dysfunctional uterine bleeding
- •Adenomyosis
- •Endometriosis
- •Endometrial hyperplasia
- •Benign ovarian cyst
Exclusion Criteria
- •Patients with known malignancy
Outcomes
Primary Outcomes
Post operative bleeding (defined as blood loss ≥500 cc)
Time Frame: First 24 hours after The Operations
Amount of lost blood will be measured in terms of assessment of Hemoglobin and Hematocrit levels before and after operation.
Postoperative pain
Time Frame: First 24 hours after The Operations
Assessment of the pain post-operatively in patients with pain score as : Total scores vary from 0 to 10 in this method, with a higher score indicating more severe pain
Secondary Outcomes
No secondary outcomes reported