Colpotomy closure technique: 3 Z-suture with PDS 0 and 1 continuous suture with V-Loc 2-0

Colpotomy closure technique: 3 Z-suture with PDS 0

Control group: colpotomy closure technique: 3 Z-sutures PDS 0 Intervention group: colpotomy closure technique: 3 Z sutures with PDS 0 and 1 continuous suture with V-Loc 2-0

7.-10. day and 6 weeks postoperatively:

1. T ° C (fever> = 38 ° C)

2. blood pressure (mm Hg)

3. general condition (good, reduced, bad)

4. Speculum examination / condition of the colpotomy:

   • non-irritating / intact
   • dehiscent
   • bleeding
   • fibrin-coated
   • purulent
   • tender
   • hyperemic
   • Infiltrated
   • Fistula formation

5. Lower abdominal pain (Visual Analog Scale (VAS): 0-10

6. transvaginal sonography: encapsulated RF on vaginal stump J: ☐N: ☐

7. Laboratory CRP (> 10mg / L) Hb (<120 g / L) Lc ( >10 G / L)

The diagnosis of vaginal stump infection was made based on 2 of 3 positive clinical symptoms, 1 additional criterion and the corresponding sonographic findings.

I. Clinical symptoms: 1. Fever> = 38 ° C; 2. Dolence, redness, swelling, pus in the colpotomy area; 3. Lower abdominal pain ( VAS >5) II. Sonographic signs (TVUS): encapsulated cystic mass on the vaginal stump Additional criteria: 1. CRP increased (> 10mg / l); 2. Antibiotic therapy needs

connection between Obesity ( BMI >30 kg/ m2), nicotine abuse ( >5 cigarettes/d), anemia ( Hb <120g/L), operation time ( >120min), uterine volume ( >100 cm3) and appearance of vaginal stump infection