Laparoscopic Versus Transvaginal Closure of the Vaginal Vault After Total Laparoscopic Hysterectomy

Laparoscopic Versus Transvaginal Closure of the Vaginal Vault After Total Laparoscopic Hysterectomy - a Single Blinded Randomized Comparative Study

The goal of this clinical trial is to compare the laparoscopic and transvaginal closure techniques of the vaginal vault in patients who perform TLH, regarding the risk of vaginal vault hematoma and other complications as vaginal cuff infection and sexual dysfunction.

Inclusion Criteria:

• Adult females consenting to do TLH all age groups with diagnoses of benign uterine conditions.
• Women who are non-obese (normal or overweight women with BMI range 18-29.9).
• Sexually active female.

Exclusion Criteria:

• Diagnosed cases of pelvic malignancy
• Diagnosed patients with Cervical intraepithelial neoplasia (CIN) or bacterial vaginosis (any infection should be treated)
• Obese patients.
• Patients currently undergoing treatment for any type of cancer
• Patients with coagulopathy, bleeding/clotting disorders
• Patients with any condition can impair wound healing: diabetes mellites, anemia, steroids
• Patients with a previous history of radiation and allergy to sutures
• Patients with clinically evident prolapse