A randomized trial comparing methods of vaginal cuff closure at vaginal hysterectomy and the effect on vaginal length - 20/08/11
, Colleen Culpepper, DO c, Jeffrey L. Segal, MD d, Michael D. Moen, MD a, b, Michael B. Noone, MD a, b
Reprint requests: Brett J. Vassallo, MD, 1875 Dempster Street, Suite 665, Park Ridge, IL 60068.Abstract |
Objective |
The objective of the study was to compare the effect of horizontal versus vertical closure of the vaginal cuff during vaginal hysterectomy on vaginal length.
Study design |
Forty-three women were randomized to undergo horizontal (n = 23) or vertical (n = 20) vaginal cuff closure during vaginal hysterectomy at a community hospital. The primary outcome of vaginal length before and after surgery was compared by the Student t test and the paired t test.
Results |
Preoperatively mean vaginal lengths in the horizontal and vertical groups were statistically similar (7.76 ± 1.23 cm versus 8.28 ± 1.39 cm, respectively; P = .21). Postoperatively the groups statistically differed (6.63 ± 1.02 cm versus 7.93 ± 1.18 cm, P < .001). The mean change in vaginal length was –1.13 ± 1.15 cm and –0.35 ± 0.91 cm, respectively (P = .01). Within-group comparisons revealed a statistical difference between pre- versus postmean vaginal length in the horizontal group (7.76 ± 1.23 cm versus 6.63 ± 1.02 cm; P < .001) and no difference within the vertical group (8.28 ± 1.39 cm versus 7.93 ± 1.18 cm; P = .11).
Conclusion |
Closing the vaginal cuff vertically is superior to horizontal closure for the purpose of preserving vaginal length.
Le texte complet de cet article est disponible en PDF.Key words : Vaginal length, Vaginal hysterectomy, Gynecologic surgery, Dyspareunia
Plan
| Presented at the 32nd Annual Meeting of the Society of Gynecologic Surgeons, April 3-5, 2006, Tucson, AZ. |
Vol 195 - N° 6
P. 1805-1808 - décembre 2006 Retour au numéro
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