A randomized trial comparing methods of vaginal cuff closure at vaginal hysterectomy and the effect on vaginal length
The objective of the study was to compare the effect of horizontal versus vertical closure of the vaginal cuff during vaginal hysterectomy on vaginal length. Forty-three women were randomized to undergo horizontal (n = 23) or vertical (n = 20) vaginal cuff closure during vaginal hysterectomy at a co...
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| Veröffentlicht in: | American journal of obstetrics and gynecology 2006-12, Vol.195 (6), p.1805-1808 |
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| container_title | American journal of obstetrics and gynecology |
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| creator | Vassallo, Brett J. Culpepper, Colleen Segal, Jeffrey L. Moen, Michael D. Noone, Michael B. |
| description | The objective of the study was to compare the effect of horizontal versus vertical closure of the vaginal cuff during vaginal hysterectomy on vaginal length.
Forty-three women were randomized to undergo horizontal (n = 23) or vertical (n = 20) vaginal cuff closure during vaginal hysterectomy at a community hospital. The primary outcome of vaginal length before and after surgery was compared by the Student
t test and the paired
t test.
Preoperatively mean vaginal lengths in the horizontal and vertical groups were statistically similar (7.76 ± 1.23 cm versus 8.28 ± 1.39 cm, respectively;
P = .21). Postoperatively the groups statistically differed (6.63 ± 1.02 cm versus 7.93 ± 1.18 cm,
P < .001). The mean change in vaginal length was –1.13 ± 1.15 cm and –0.35 ± 0.91 cm, respectively (
P = .01). Within-group comparisons revealed a statistical difference between pre- versus postmean vaginal length in the horizontal group (7.76 ± 1.23 cm versus 6.63 ± 1.02 cm;
P < .001) and no difference within the vertical group (8.28 ± 1.39 cm versus 7.93 ± 1.18 cm;
P = .11).
Closing the vaginal cuff vertically is superior to horizontal closure for the purpose of preserving vaginal length. |
| doi_str_mv | 10.1016/j.ajog.2006.07.010 |
| format | Article |
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Forty-three women were randomized to undergo horizontal (n = 23) or vertical (n = 20) vaginal cuff closure during vaginal hysterectomy at a community hospital. The primary outcome of vaginal length before and after surgery was compared by the Student
t test and the paired
t test.
Preoperatively mean vaginal lengths in the horizontal and vertical groups were statistically similar (7.76 ± 1.23 cm versus 8.28 ± 1.39 cm, respectively;
P = .21). Postoperatively the groups statistically differed (6.63 ± 1.02 cm versus 7.93 ± 1.18 cm,
P < .001). The mean change in vaginal length was –1.13 ± 1.15 cm and –0.35 ± 0.91 cm, respectively (
P = .01). Within-group comparisons revealed a statistical difference between pre- versus postmean vaginal length in the horizontal group (7.76 ± 1.23 cm versus 6.63 ± 1.02 cm;
P < .001) and no difference within the vertical group (8.28 ± 1.39 cm versus 7.93 ± 1.18 cm;
P = .11).
Closing the vaginal cuff vertically is superior to horizontal closure for the purpose of preserving vaginal length.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/j.ajog.2006.07.010</identifier><identifier>PMID: 17132483</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>Philadelphia, PA: Mosby, Inc</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Dyspareunia ; Female ; Gynecologic surgery ; Gynecology. Andrology. Obstetrics ; Humans ; Hysterectomy, Vaginal - adverse effects ; Hysterectomy, Vaginal - methods ; Medical sciences ; Middle Aged ; Organ Size ; Postoperative Period ; Vagina - pathology ; Vagina - surgery ; Vaginal hysterectomy ; Vaginal length</subject><ispartof>American journal of obstetrics and gynecology, 2006-12, Vol.195 (6), p.1805-1808</ispartof><rights>2006 Mosby, Inc.</rights><rights>2007 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-773a64bfd9ba6e7f1e6c87d34a6259002111fc7ad9c137acb15d4656c88ff95f3</citedby><cites>FETCH-LOGICAL-c384t-773a64bfd9ba6e7f1e6c87d34a6259002111fc7ad9c137acb15d4656c88ff95f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ajog.2006.07.010$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>310,311,315,782,786,791,792,3552,23937,23938,25147,27931,27932,46002</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18453872$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17132483$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vassallo, Brett J.</creatorcontrib><creatorcontrib>Culpepper, Colleen</creatorcontrib><creatorcontrib>Segal, Jeffrey L.</creatorcontrib><creatorcontrib>Moen, Michael D.</creatorcontrib><creatorcontrib>Noone, Michael B.</creatorcontrib><title>A randomized trial comparing methods of vaginal cuff closure at vaginal hysterectomy and the effect on vaginal length</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>The objective of the study was to compare the effect of horizontal versus vertical closure of the vaginal cuff during vaginal hysterectomy on vaginal length.
Forty-three women were randomized to undergo horizontal (n = 23) or vertical (n = 20) vaginal cuff closure during vaginal hysterectomy at a community hospital. The primary outcome of vaginal length before and after surgery was compared by the Student
t test and the paired
t test.
Preoperatively mean vaginal lengths in the horizontal and vertical groups were statistically similar (7.76 ± 1.23 cm versus 8.28 ± 1.39 cm, respectively;
P = .21). Postoperatively the groups statistically differed (6.63 ± 1.02 cm versus 7.93 ± 1.18 cm,
P < .001). The mean change in vaginal length was –1.13 ± 1.15 cm and –0.35 ± 0.91 cm, respectively (
P = .01). Within-group comparisons revealed a statistical difference between pre- versus postmean vaginal length in the horizontal group (7.76 ± 1.23 cm versus 6.63 ± 1.02 cm;
P < .001) and no difference within the vertical group (8.28 ± 1.39 cm versus 7.93 ± 1.18 cm;
P = .11).
Closing the vaginal cuff vertically is superior to horizontal closure for the purpose of preserving vaginal length.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Dyspareunia</subject><subject>Female</subject><subject>Gynecologic surgery</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Hysterectomy, Vaginal - adverse effects</subject><subject>Hysterectomy, Vaginal - methods</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Organ Size</subject><subject>Postoperative Period</subject><subject>Vagina - pathology</subject><subject>Vagina - surgery</subject><subject>Vaginal hysterectomy</subject><subject>Vaginal length</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM-uEyEUh4nReGv1BVwYNrqbEYYZYBI3Nzf-S27iRteEwqGlmRkqMDfWp-mz9Mlk0urduSKH850fnA-h15TUlFD-fl_rfdjWDSG8JqImlDxBK0p6UXHJ5VO0IoQ0Vc-EvEEvUtovZdM3z9ENFZQ1rWQr9OsWRz3ZMPrfYHGOXg_YhPGgo5-2eIS8Czbh4PCD3vppac7OnU9mCGmOgHX-19gdU4YIJofxiEskzjvA4Fy5OZ_CdD79BQeYtnn3Ej1zekjw6nqu0Y9PH7_ffanuv33-end7Xxkm21wJwTRvN872G81BOArcSGFZq3nT9WUhSqkzQtveUCa02dDOtrwrkHSu7xxbo3eX3EMMP2dIWY0-GRgGPUGYk-KS9pyWZ9aouYAmhpQiOHWIftTxqChRi2-1V4tvtfhWRKjiuwy9uabPmxHs48hVcAHeXgGdjB5ckW18euRk2zEpmsJ9uHBQXDx4iCoZD5MB6xenygb_v3_8AR0Cotg</recordid><startdate>20061201</startdate><enddate>20061201</enddate><creator>Vassallo, Brett J.</creator><creator>Culpepper, Colleen</creator><creator>Segal, Jeffrey L.</creator><creator>Moen, Michael D.</creator><creator>Noone, Michael B.</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20061201</creationdate><title>A randomized trial comparing methods of vaginal cuff closure at vaginal hysterectomy and the effect on vaginal length</title><author>Vassallo, Brett J. ; Culpepper, Colleen ; Segal, Jeffrey L. ; Moen, Michael D. ; Noone, Michael B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-773a64bfd9ba6e7f1e6c87d34a6259002111fc7ad9c137acb15d4656c88ff95f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Dyspareunia</topic><topic>Female</topic><topic>Gynecologic surgery</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Hysterectomy, Vaginal - adverse effects</topic><topic>Hysterectomy, Vaginal - methods</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Organ Size</topic><topic>Postoperative Period</topic><topic>Vagina - pathology</topic><topic>Vagina - surgery</topic><topic>Vaginal hysterectomy</topic><topic>Vaginal length</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vassallo, Brett J.</creatorcontrib><creatorcontrib>Culpepper, Colleen</creatorcontrib><creatorcontrib>Segal, Jeffrey L.</creatorcontrib><creatorcontrib>Moen, Michael D.</creatorcontrib><creatorcontrib>Noone, Michael B.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vassallo, Brett J.</au><au>Culpepper, Colleen</au><au>Segal, Jeffrey L.</au><au>Moen, Michael D.</au><au>Noone, Michael B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A randomized trial comparing methods of vaginal cuff closure at vaginal hysterectomy and the effect on vaginal length</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>2006-12-01</date><risdate>2006</risdate><volume>195</volume><issue>6</issue><spage>1805</spage><epage>1808</epage><pages>1805-1808</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>The objective of the study was to compare the effect of horizontal versus vertical closure of the vaginal cuff during vaginal hysterectomy on vaginal length.
Forty-three women were randomized to undergo horizontal (n = 23) or vertical (n = 20) vaginal cuff closure during vaginal hysterectomy at a community hospital. The primary outcome of vaginal length before and after surgery was compared by the Student
t test and the paired
t test.
Preoperatively mean vaginal lengths in the horizontal and vertical groups were statistically similar (7.76 ± 1.23 cm versus 8.28 ± 1.39 cm, respectively;
P = .21). Postoperatively the groups statistically differed (6.63 ± 1.02 cm versus 7.93 ± 1.18 cm,
P < .001). The mean change in vaginal length was –1.13 ± 1.15 cm and –0.35 ± 0.91 cm, respectively (
P = .01). Within-group comparisons revealed a statistical difference between pre- versus postmean vaginal length in the horizontal group (7.76 ± 1.23 cm versus 6.63 ± 1.02 cm;
P < .001) and no difference within the vertical group (8.28 ± 1.39 cm versus 7.93 ± 1.18 cm;
P = .11).
Closing the vaginal cuff vertically is superior to horizontal closure for the purpose of preserving vaginal length.</abstract><cop>Philadelphia, PA</cop><pub>Mosby, Inc</pub><pmid>17132483</pmid><doi>10.1016/j.ajog.2006.07.010</doi><tpages>4</tpages></addata></record> |
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| identifier | ISSN: 0002-9378 |
| ispartof | American journal of obstetrics and gynecology, 2006-12, Vol.195 (6), p.1805-1808 |
| issn | 0002-9378 1097-6868 |
| language | eng |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Adult Aged Biological and medical sciences Dyspareunia Female Gynecologic surgery Gynecology. Andrology. Obstetrics Humans Hysterectomy, Vaginal - adverse effects Hysterectomy, Vaginal - methods Medical sciences Middle Aged Organ Size Postoperative Period Vagina - pathology Vagina - surgery Vaginal hysterectomy Vaginal length |
| title | A randomized trial comparing methods of vaginal cuff closure at vaginal hysterectomy and the effect on vaginal length |
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