Vaginal Cuff Dehiscence After Total Laparoscopic Hysterectomy: Prospective Comparison Of Two Types Of Suturing Techniques.

Samina Saleem Dojki, Alia Bano, Saliha Kanwal
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引用次数: 1

Abstract

Background: To compare the frequency of vaginal cuff dehiscence after total laparoscopic hysterectomy between two different suturing techniques. Place and duration of study: The study was conducted at three centers; postgraduate tertiary care hospital, university affiliated hospital and private multidisciplinary hospital. The studied duration was from January 2019 to June 2020.

Methods: All patients with indication of total laparoscopic hysterectomy during the study period were included. These were randomly divided in to two groups A and B. Group A was performed upon the conventional interrupted figure of 8 vault suturing and group B with continuous, running, double layered suturing. Keeping the demographics almost same the frequency of a known but rare complication of vaginal cuff dehiscence (VCD) was determined.

Results: A total of 195 patients were enrolled. Of these 87 were in group A and 108 in group B. The results were unequivocal as only one patient had the said complication.

Conclusions: The morbid complication has no relation with the technique of vault suturing.

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腹腔镜全子宫切除术后阴道袖裂:两种缝合技术的前瞻性比较。
背景:比较两种不同缝合技术在腹腔镜全子宫切除术后阴道袖带破裂的发生率。研究地点和时间:研究在三个中心进行;研究生三级医院、大学附属医院和私立多学科医院。研究时间为2019年1月至2020年6月。方法:纳入研究期间所有有腹腔镜全子宫切除术指征的患者。随机分为A、B两组,A组采用常规间断式8孔缝合,B组采用连续式、连续式、双层缝合。保持人口统计学几乎相同的频率,一个已知的,但罕见的并发症阴道袖带破裂(VCD)被确定。结果:共纳入195例患者。其中A组87例,b组108例,结果明确,只有1例患者出现上述并发症。结论:畸形并发症与拱顶缝合技术无关。
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