Barbed vs Standard Suture for Laparoscopic Vaginal Cuff Closure

Barbed vs Standard Suture for Laparoscopic Vaginal Cuff Closure

Total laparoscopic hysterectomy is a procedure that is performed each time more often. One of the problems described for this procedure has to do with the closure of the vaginal vault, increased surgical time when suture laparoscopically, complications such as dehiscence of the dome, infections, hematomas and dyspareunia. A prospective study will be conducted to compare two different techniques for closure of the vaginal vault.

Inclusion Criteria:

• All patients scheduled for total laparoscopic hysterectomy without other simultaneous procedures , for benign causes , who were agree to participate in the trial and give their written consent.
• Patients ASA (American Society of Anesthesiologists) 1 and 2
• Patients who are able to communicate by telephone and answer questions

Exclusion Criteria:

• Patients with coagulation disorders, chronic use of corticosteroids, COPD (chronic obstructive pulmonary disease), collagen diseases, diabetes.
• Endometriosis III / IV
• Patients who can not be reached by phone