Korean J Obstet Gynecol.
2000 Apr;43(4):670-674.
Study on Repairing Method of Vaginal Cuff in Total Laparoscopic Hysterectomy
Abstract
OBJECTIVE
Hysterectomy is one of the most common gynecological operations. The objective of this study is to compare the efficacy
of suturing methods of vaginal cuff between laparoscopic and vaginal approach. METHODS: One hundred and sixty one cases of laparoscopic
hysterectomy were devided into two groups. In group A(n=67), vaginal cuff was sutured by laparoscopic suture technique and in group B(n=94),
vaginal cuff was repaired by vaginal approach. RESULTS: There were no significant differences in uterine weight, hospital stay, pre-and postoperative
hemoglobin level and complications including febrile morbidity in two groups. Operation time was significantly shorter in group B(p=0.05).
CONCLUSION
Transvaginal repair of vaginal cuff showed shorter duration of operation time than laparoscopic suture technique
in total laparoscopichy sterectomy.