Comparing Postoperative Pain After Vessel Sealing Device Versus Conventional Suturing Methods for Vaginal Hysterectomy and Pelvic Reconstructive Surgery

Comparing Postoperative Pain After LigaSureTM Vessel Sealing Device Versus Conventional Suturing Methods for Vaginal Hysterectomy and Pelvic Reconstructive Surgery: a Randomized Controlled Trial

This study will investigate pain outcomes for patients undergoing vaginal hysterectomy with pelvic reconstructive surgery using the LigasureTM vessel sealing device as compared to conventional clamping and suturing methods.

Inclusion Criteria:

• English speaking, able to understand informed consent
• Vaginal hysterectomy with vaginal vault suspension
• with or without anterior and posterior repairs
• with or without removal of fallopian tubes or ovaries
• with or without procedures for stress urinary incontinence

Exclusion Criteria:

• Use of mesh for prolapse repair
• Robotic, laparoscopic, or open technique used for prolapse repair and/or hysterectomy
• Concomitant procedure done by an additional surgeon
• Concomitant anal sphincteroplasty or rectovaginal fistula repair
• History of chronic pelvic pain receiving medical care
• Daily use of medication for pain: NSAID, Tylenol, opioid, gabapentin, and/or amitriptyline
• Pregnancy