A randomized trial of open versus closed vaginal vault in the prevention of postoperative morbidity after abdominal hysterectomy

Article Abstract:

There appears to be no difference in postoperative outcomes among women having a hysterectomy if the surgeon closes the vaginal vault or leaves it open. Researchers followed 273 women who had an abdominal hysterectomy, mostly for uterine fibroids. In 141 cases, the surgeons left the vaginal vault open and in the remaining 132 cases closed it surgically. The women were carefully observed for signs of infection while they were hospitalized and were seen again 4 to 8 weeks later. Seven percent of the women with an open vaginal vault developed an infection at the site compared to six percent of those with a closed vaginal vault. Three women (2%) with an open vaginal vault developed a urinary tract infection as did four women (3%) with a closed vaginal vault. Four percent of those with an open vault developed a bleeding complication such as a hematoma as did 1.5% of those with a closed vault. Two women with closed vaults required another operation.

Methods

---

A randomized comparison of Burch colposuspension and abdominal paravaginal defect repair for female stress urinary incontinence

Article Abstract:

Burch colposuspension appears to cure female stress urinary incontinence more often than abdominal paravaginal defect repair. Researchers compared results between 18 women having Burch colposuspension and 18 women having paravaginal defect repair. Patients were followed for one to three years. All women having Burch colposupension reported no episodes of incontinence and none leaked urine during a stress test compared with 72% and 61%, respectively, of women with paravaginal defect repair. One patient undergoing Burch colposuspension required urethral dilation for retained urine.

Urinary stress incontinence

---

Sacrospinous ligament fixation and modified McCall culdoplasty during vaginal hysterectomy for advanced uterovaginal prolapse

Article Abstract:

A surgical technique called sacrospinous ligament fixation should not be used to prevent uterovaginal prolapse in patients undergoing hysterectomy. Uterovaginal prolapse occurs when the lower part of the uterus drops down into the vagina. Researchers compared this technique with a technique called a modified McCall culdoplasty in 124 women who were randomly assigned to either group. Those in the sacrospinous ligament fixation group had longer operations, greater blood loss, and a higher rate of prolapse recurrence during a 4- to 9-year follow-up compared to the other group.

Complications and side effects, Uterus, Uterine prolapse

Similar abstracts:

• Abstracts: The way to take charge. Improving information for men with postoperative urinary incontinence
• Abstracts: Administering medication to older mental health patients. An intervention to manage depression after hip fracture
• Abstracts: A prospective comparison of transvaginal ultrasonography and diagnostic hysteroscopy in the evaluation of patients with abnormal uterine bleeding: clinical implications
• Abstracts: 9 reasons men are jealous of women. Men's sexual health report: what they know - and what they lie. What men will - and won't do for love
• Abstracts: Comparison of 1% and 2.5% selenium sulfide in the treatment of tinea capitis. Asymptomatic Dermatophyte Carriers in the Households of Children With Tinea Capitis

This website is not affiliated with document authors or copyright owners. This page is provided for informational purposes only. Unintentional errors are possible.