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Post-Hysterectomy Vaginal Length: Horizontal vs. Vertical Closure
Sponsor: Gaziosmanpasa Research and Education Hospital
Summary
This prospective clinical study aims to evaluate the impact of vaginal cuff closure orientation-horizontal versus vertical-on postoperative total vaginal length in patients undergoing vaginal hysterectomy combined with lateral suspension. By comparing anatomical outcomes between the two closure techniques, the study seeks to determine which method better preserves vaginal length, potentially influencing surgical preferences and postoperative quality of life.
Official title: Investigation of the Effect of Horizontal and Vertical Vaginal Cuff Closure on Postoperative Total Vaginal Length in Patients Undergoing Vaginal Hysterectomy and Lateral Suspension
Key Details
Gender
FEMALE
Age Range
35 Years - 65 Years
Study Type
INTERVENTIONAL
Enrollment
62
Start Date
2025-07-01
Completion Date
2026-03-01
Last Updated
2025-07-16
Healthy Volunteers
No
Conditions
Interventions
Horizontal Vaginal Cuff Closure Technique
In this arm, patients undergoing vaginal hysterectomy with lateral suspension will receive horizontal closure of the vaginal cuff. After removal of the uterus, the vaginal cuff is closed in a transverse (right-to-left) direction using standard absorbable sutures. The technique aims to maintain or optimize the anatomical axis and preserve vaginal length in the horizontal plane. The entire procedure is performed under general or regional anesthesia by an experienced surgical team.
Vertical Vaginal Cuff Closure Technique
In this arm, patients undergoing vaginal hysterectomy with lateral suspension will receive vertical closure of the vaginal cuff. After the uterus is removed, the vaginal cuff is closed in a cranio-caudal (top-to-bottom) orientation using absorbable sutures. This technique is hypothesized to better support apical structures and reduce tissue tension. Procedures are performed under general or regional anesthesia with standardized operative technique.
Locations (1)
Gaziosmanpaşa Training and Research Hospital
Istanbul, Turkey (Türkiye)