Laparoscopic Versus Vaginal Cuff Closure During LH in Benign Gynecological Lesions

Laparoscopic Versus Vaginal Cuff Closure During Laparoscopic Hysterectomy in Benign Gynecological Lesions

To compare vaginal cuff closure via Bakay purse string with vaginal cuff closure via vaginal route with continuous locked suturing after total laparoscopic hysterectomy for benign lesions.

The objective of the present study is to compare 2 different methods for vaginal cuff closure after total laparoscopic hysterectomy for benign lesions regarding operative time, vaginal length, vaginal cuff dehiscene, hematoma formation. The first method is the Bakay purse string and the second is the closure of the vault via vaginal route with continuous locked suturing.

Inclusion Criteria:

• Benign uterine lesions e.g fibroid, adenomyosis,…etc.
• Patient acceptance to undergo laparoscopic hysterectomy.

Exclusion Criteria:

• Gynecological malignancy.
• Low corporeal myoma obsecuring cervicovaginal junction.
• History of extensive abdominal surgery other than cesarean section.