Study on Repairing Method of Vaginal Cuff in Total Laparoscopic Hysterectomy.

Lee, Ki Hwan; Park, Yun Seok; Kang, Kil Chun

Original Article

Korean Journal of Obstetrics & Gynecology 2000;43(4):670-674.
Published online January 1, 2001.

Study on Repairing Method of Vaginal Cuff in Total Laparoscopic Hysterectomy.

Ki Hwan Lee, Yun Seok Park, Kil Chun Kang

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.

Key Words: Vaginal cuff, Hysterectomy, Laparoscopy