Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2017 | Month : March | Volume : 11 | Issue : 3 | Page : QD01 - QD03

Cuff Closure by Vaginal Route in TLH: Case Series and Review of Literature

Huseyin Aydogmus, Serpil Aydogmus, Servet Gençdal, Sefa kelekçi

1. Lecturer, Department of Obstetrics and Gynaecology, Izmir Katip Çelebi University, Atatürk Research and Training Hospital, Izmir, Narlidere, Turkey. 2. Associate Professor, Department of Obstetrics and Gynaecology, Izmir Katip Çelebi University, Atatürk Research and Training Hospital, Izmir, Narlidere, Turkey. 3. Lecturer, Department of Obstetrics and Gynaecology, Izmir Katip Çelebi University, Atatürk Research and Training Hospital, Izmir, Narlidere, Turkey. 4. Professor, Department of Obstetrics and Gynaecology, Izmir Katip Çelebi University, School of Medicine, Izmir, Karabaglar, Turkey.

Correspondence Address :
Dr. Serpil Aydogmus,
ilica Mah, Zeytin Sok, No20/20, 35320, Narlidere, Izmir, Turkey,
E-mail: serpilaydogmus@gmail.com

Abstract

Total Laparoscopic Hysterectomy (TLH) represents one of the most performed gynaecological procedures nowadays. The closure of the vaginal cuff is the most diffucult part of TLH because of the difficulty of laparoscopic suturing techniques. Our aim was to evaluate the efficacy and safety of vaginal cuff closure by vaginal route on patients submitted to TLH. During the period between January 2013 to December 2015 total number of 64 laparoscopic hysterectomy were performed in our clinic. TLH and vaginal vault closure was performed as described by Ghezzi for all patients. The length of cuff closure time and the frequency of vaginal cuff-related complications were measured. Mean age was 48.1 (38-71) years, mean parity was 2.6 (1-9). Most ranked indications for hysterectomy were abnormal uterine bleeding and symptomatic leiomyoma. Average cuff closure time was 6 (2-17) minute. In average 24 (2-36) month followup there were no vaginal vault dehiscence. Transvaginal vaginal cuff closure seems to be safe, easy and effective for total vaginal hysterectomy. Using vaginal route can significantly reduce the length of closure time. This technique has comparable complication rates with endoscopic suturing techniques.

Keywords

Laparoscopy, Total laparoscopic hysterectomy, Vaginal cuff closure

How to cite this article :

Huseyin Aydogmus, Serpil Aydogmus, Servet Gençdal, Sefa kelekçi. CUFF CLOSURE BY VAGINAL ROUTE IN TLH: CASE SERIES AND REVIEW OF LITERATURE. Journal of Clinical and Diagnostic Research [serial online] 2017 March [cited: 2017 Apr 27 ]; 11:QD01-QD03. Available from
http://jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=March&volume=11&issue=3&page=QD01-QD03&id=9447

DOI and Others

DOI: 10.7860/JCDR/2017/25056.9447

Date of Submission: Oct 28, 2016
Date of Peer Review: Nov 24, 2016
Date of Acceptance: Jan 13, 2017
Date of Publishing: Mar 01, 2017

Financial OR OTHER COMPETING INTERESTS: None

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