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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Vaginal approach | Active Comparator | Closure of vaginal vault after delivery of the specimen by vaginal suturing |
|
| Laparoscopic approach | Active Comparator | Closure of vaginal vault after delivery of the specimen by laparoscopic suturing |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Total laparoscopic hysterectomy | Procedure | Removal of uterus and cervix by laparoscope |
|
| Measure | Description | Time Frame |
|---|---|---|
| Vaginal Vault hematoma | It will be assessed by examination and ultrasound | From 10 days postoperative to 30 days postoperative |
| Measure | Description | Time Frame |
|---|---|---|
| Bleeding/spotting | I wil be assed by history and examination | From 10 days postoperative to 30 days postoperative |
| Vaginal infection: | It will be assessed by history and examination |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Rowan A Sakr | Contact | +201026141345 | 150232@med.asu.edu.eg |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ain Shams University maternity hospital | Recruiting | Cairo | Egypt |
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| From 10 days postoperative to 30 days postoperative |
| Vaginal prolapse | It will be assessed by history and examination | From 10 days postoperative to 30 days postoperative |
| Vaginal cuff granulation | It will be assessed by examination and ultrasound | From 10 days postoperative to 30 days postoperative |
| Sexual dysfunction | I will be assessed through Female Sexual Function Index (FSFI) questionnaire | From 3 to 4 months post operative |