Preservation of Vaginal Length by Vertical vs Horizontal Vault Closure Technique after Vaginal Hystrectomy

S. Jeelani
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Abstract

Objective: To compare vaginal length preservation between vertical and horizontal vault closure technique after vaginal hystrectomy. Methods: Randomized prospective Study was conducted at two private hospitals in Kashmir valley. 46 women who attended gynecology clinic between Jan 2016 to Jan 2021 with POPQ grade 1 prolapse were randomized into two groups according to vaginal vault closure technique (horizontal 23 vs vertical 23). Results: Vaginal length measured pre-operatively between horizontal and vertical group was similar with mean ±SD (7.6±0.82) and 7.79±0.80). Immediate postoperative vaginal length was significantly short in horizontal group as compared to vertical closure group with mean±SD (6.4±0.88) and 7.31±0.72). Mean difference in vaginal length between two groups before and after surgery was 1.2(0.12) centimeters (horizontal) and 0.4(0.11) centimeters vertical group. P<.001 Conclusion: vertical vaginal vault closure preserves vaginal length as compared to horizontal vault closure. Keywords: vault closure, vaginal hystrectomy, vaginal length, vertical, horizontal.
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阴道子宫切除术后采用垂直与水平穹隆闭合技术保留阴道长度的比较
目的比较阴道子宫切除术后垂直和水平穹隆闭合技术对阴道长度的保留。方法: 在克什米尔山谷的两家私立医院进行了随机前瞻性研究:随机前瞻性研究在克什米尔山谷的两家私立医院进行。根据阴道穹窿闭合技术(水平 23 与垂直 23),将 46 名在 2016 年 1 月至 2021 年 1 月期间到妇科门诊就诊、患有 POPQ 1 级脱垂的女性随机分为两组。结果:水平组和垂直组术前测量的阴道长度相似,平均值(±SD)分别为(7.6±0.82)和(7.79±0.80)。术后即刻阴道长度水平组明显短于垂直闭合组(平均值±SD(6.4±0.88)和 7.31±0.72)。两组术前和术后阴道长度的平均差异为:水平组 1.2(0.12)厘米,垂直组 0.4(0.11)厘米。P<.001 结论:与水平穹隆闭合术相比,垂直穹隆闭合术可保留阴道长度。关键词:穹隆关闭术;阴道子宫切除术;阴道长度;垂直;水平。
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