کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3442466 | 1595021 | 2006 | 4 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: A randomized trial comparing methods of vaginal cuff closure at vaginal hysterectomy and the effect on vaginal length A randomized trial comparing methods of vaginal cuff closure at vaginal hysterectomy and the effect on vaginal length](/preview/png/3442466.png)
ObjectiveThe objective of the study was to compare the effect of horizontal versus vertical closure of the vaginal cuff during vaginal hysterectomy on vaginal length.Study designForty-three women were randomized to undergo horizontal (n = 23) or vertical (n = 20) vaginal cuff closure during vaginal hysterectomy at a community hospital. The primary outcome of vaginal length before and after surgery was compared by the Student t test and the paired t test.ResultsPreoperatively mean vaginal lengths in the horizontal and vertical groups were statistically similar (7.76 ± 1.23 cm versus 8.28 ± 1.39 cm, respectively; P = .21). Postoperatively the groups statistically differed (6.63 ± 1.02 cm versus 7.93 ± 1.18 cm, P < .001). The mean change in vaginal length was –1.13 ± 1.15 cm and –0.35 ± 0.91 cm, respectively (P = .01). Within-group comparisons revealed a statistical difference between pre- versus postmean vaginal length in the horizontal group (7.76 ± 1.23 cm versus 6.63 ± 1.02 cm; P < .001) and no difference within the vertical group (8.28 ± 1.39 cm versus 7.93 ± 1.18 cm; P = .11).ConclusionClosing the vaginal cuff vertically is superior to horizontal closure for the purpose of preserving vaginal length.
Journal: American Journal of Obstetrics and Gynecology - Volume 195, Issue 6, December 2006, Pages 1805–1808