Reducing Postoperative Bleeding After Hysterectomy Via Independent Closure of Vaginal Cuff Angles
Postoperative Bleeding, Patient Satisfaction, Complications
About this trial
This is an interventional treatment trial for Postoperative Bleeding focused on measuring bleeding, hysterectomy, cuff, closure
Eligibility Criteria
Inclusion Criteria:
- • Pre-menopausal patients scheduled to undergo hysterectomy via laparoscopic/robotic approach for benign indications (Ages 18-60, who have had at least one menstrual cycle in the last year).
Exclusion Criteria:
Patient's that incur in an intraoperative bowel or urologic injury during the hysterectomy that requires repair. If injury occurs after randomization (during vaginal cuff closure), this will be recorded and reviewed by the study's safety officer
- Patients scheduled to undergo a concomitant vaginal procedure (Mid-urethral sling, anterior/posterior repair)
- Patients scheduled to undergo pelvic floor repair (utero-sacral ligament suspension)
- Patients with known preoperative malignancy
- Patients in which a total hysterectomy is not completed
Sites / Locations
- Texas Tech University Health Scince Center El Paso
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Angle stitch
control
If the allocation corresponds to "Angle stitch", surgeon will use 0 polyglactin 910 suture on a tapered needle to place figure of 8 sutures on both (left and right) apexes. Knot tying technique (intra-corporeal vs extracorporeal) will be up to surgeon preference. After this is completed, barbed suture will be used to re-approximate the remainder of the vaginal cuff from right to left, backtracking once at the end for reinforcement.
If the subject's group corresponds to "Control group", the surgeon will re-approximate the cuff in a standard fashion, using a running-barbed suture (2-0 V-LOC 90 with tapered needle), starting at the right apex, moving towards the left, and then back-tracking once to further reinforce the closure.