Comparative Evaluation of Open versus Closed Vaginal Vault after Laparoscopic Hysterectomy: does it make a difference in operation time and postoperative morbidity - Our experience at FMH
Junaid Khan Lodhi, Asim Malik, Saba Tahir Bokhari, Muhammad Zubair, Abrar Ul Hassan Peerzada, Humera Alam
899
Abstract
Background: Laparoscopic hysterectomy is now the procedure of choice. Some suggest vaginal cuff closure an important part of this procedure while other suggest no additional benefit of its closure.
Aim: To evaluate effects of two surgical techniques, closure of vaginal vault with intracorporeal vicryl 1 suture in single layer versus leaving it open after laparoscopic hysterectomy.
Methods: Sample size calculated was 100 with 95% confidence interval. Patients were divided into two groups; the one in which vault was left open and the other in which vault was closed.
Results: 50 women were included in open vault group and 50 were recruited in closed group. There were no differences between the demographic characters of two groups. Regarding surgical outcomes, there was significant difference between the two groups except pain at port site which was found to be more in patients with vaginal vault left open.
Conclusion: There is no difference in the two techniques whether to close the vaginal vault or leave it open after laparoscopic hysterectomy.
Keywords: Laparoscopic, hysterectomy, vault, open, closed.