PubMed:24747553 JSONTXT

{"target":"https://pubannotation.org/docs/sourcedb/PubMed/sourceid/24747553","sourcedb":"PubMed","sourceid":"24747553","source_url":"https://www.ncbi.nlm.nih.gov/pubmed/24747553","text":"Effects of horizontal vs vertical vaginal cuff closure techniques on vagina length after vaginal hysterectomy: a prospective randomized study.\nSTUDY OBJECTIVE: To compare the effects of horizontal and vertical vaginal cuff closure techniques on vagina length after vaginal hysterectomy.\nDESIGN: Prospective randomized study (Canadian Task Force classification I).\nSETTING: Teaching and research hospital, a tertiary center.\nPATIENTS: Fifty-two women with POP-Q stage 0 or 1 uterine prolapse were randomized into 2 groups using vertical (n = 26) or horizontal (n = 26) vaginal cuff closure.\nINTERVENTIONS: All patients underwent vaginal hysterectomy.\nMEASUREMENTS AND MAIN RESULTS: Vagina length in the 2 groups was compared preoperatively, immediately after surgery, and at 6 weeks postoperatively. Mean (SD) preoperative vagina length in the horizontal and vertical groups was similar (7.87 [0.92] cm vs 7.99 [0.78] cm; p = .41). Immediately postoperatively, the vagina was significantly shorter in the horizontal group than in the vertical group (6.61 [0.89] cm vs 7.51 [0.74] cm; p \u003c .001). At 6 weeks postoperatively, the vagina was still significantly shorter in the horizontal group (6.55 [0.89] cm vs 7.42 (0.73) cm; p \u003c .001). The mean difference in vagina length before and after surgery was also significantly higher in the horizontal group than in the vertical group (-1.26 [0.12] cm vs 0.49 [0.11] cm; p \u003c .001).\nCONCLUSION: Vertical cuff closure during vaginal hysterectomy seems to preserve vagina length better than does horizontal cuff closure.","tracks":[]}