![]() ![]() The median duration of hospital stay was 3 (2–3) days in both the groups.Ĭonclusion: Barbed suture makes laparoscopic vaginal cuff closure faster without any increase in the rate of postoperative complications. The median time taken for vaginal cuff closure was 16.2 (14–18) minutes in the polyglactin group and 9.5 (8.2–11.4) minutes in the barbed suture group, and the difference was statistically significant ( p 0.99). If the vaginal wall is involved by endometriosis, the rectovaginal septum is. Dyspareunia or apareunia is usually the presenting symptom. ![]() Results: A total of 120 patients undergoing TLH were included, out of which polyglactin was used in 65 cases and barbed suture in 55 cases. Complete obliteration of the posterior pelvic cul-de-sac in women with. Vaginal constriction or obliteration can be a devastating condition for patients and their surgeons. Vault was examined at the time of discharge and at 6 weeks during which postoperative vaginal cuff complications such as infection, discharge, bleeding, and dehiscence were assessed. Time taken for vaginal cuff closure with barbed suture or polyglactin suture was noted during surgery. In this case, vaginal obliteration was an early sign of tumor recurrence, although menopause may have contributed to the vaginal obliteration. Vaginal cuff closure was performed laparoscopically with either unidirectional barbed suture or with polyglactin suture. Materials and Methods: All women who underwent TLH for benign conditions from September 2018 to June 2020 were included in the study. Objective: To assess the ease of vaginal cuff closure with barbed suture and polyglactin suture in total laparoscopic hysterectomy (TLH).ĭesign: A prospective observational study. ![]()
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