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This study has been designed as a prospective randomized trial to be performed at Bridgeport Hospital. Patients planning to undergo a laparoscopic or robotically assisted total laparoscopic hysterectomy with or without removal of adnexal structures will be recruited by the Bridgeport Hospital Minimally Invasive Gynecologic Surgery fellows during their preoperative office visit at the Bridgeport Hospital Gynecologic Oncology office. If enrolled, they will be assigned a sequential study identification number. During their preoperative exam, a baseline POP-Q will be performed. Demographic information will be recorded from the electronic medical record.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Vertical | Experimental | Vaginal cuff closure performed in a vertical manner. |
|
| Horizontal | Active Comparator | Vaginal cuff closure performed in a horizontal manner. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Vaginal cuff closure - vertical | Procedure | Vaginal cuff is closed vertically. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Vaginal length | Vaginal length will be measured in cm by standard POP-Q measurements | 1-3 weeks postop |
| Measure | Description | Time Frame |
|---|---|---|
| Vaginal length | Vaginal length will be measured in cm by standard POP-Q measurements | 3-4 months postop |
| Cuff closure time | Time will be recorded by the circulating nurse in seconds |
| Measure | Description | Time Frame |
|---|---|---|
| Complications | Including urinary retention, bladder injury, ureteral injury, cuff dehiscence, cuff bleeding requiring further procedures or cauterization | Up to 4 months post-op |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bridgeport Hospital | Bridgeport | Connecticut | 06610 | United States |
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| Vaginal cuff closure - horizontal |
| Procedure |
Vaginal cuff is closed horizontally. |
|
| intra-op |