• Jimmy A. BIllod
• Joella Gatchalian-Saure, MD

Background: Total abdominal hysterectomy is the most frequently performed gynecologic operation and surgical technique of hysterectomy may include either open or a closed vaginal cuff. There are no standard recommendations or guidelines regarding management of vaginal cuff. This study aimed to determine the advantages and disadvantages of open versus closed vaginal cuff closure technique following elective abdominal hysterectomies. Methodology: This is a randomized controlled trial (open label) involving eighty eight women undergoing elective hysterectomy were randomized to either open or closed vaginal cuff technique. The independents sample t test was used to compare differences between continuous variables namely age, operating time, length of hospital stay, estimated blood loss, allowable blood loss and surgical costs. Statistical tool used to compare bleeding , dehiscence, granulation and pelvic hematoma was z test on two proportions. Cramers v test were used to compare the gravidity and parity. A p value of <0.05 were considered statistically significant. Results: Open and closed vaginal cuff techniques did not differ in terms of operating time (114 vs. 110 minutes; p= 0.53), length of hospital stay (4.67 vs. 4.54 days; p=0.64), estimated blood loss ( 306.90 vs. 338.13 ml; p=0.26 ) and surgical cost (5995.26 vs. 5862.94; p=0.55). Both techniques were similar in the clinical judgement of surgeons. This study showed that open and closed vaginal cuff technique techniques were comparable in terms of pain (5.40 vs. 5.42; p=0.53) vaginal discharge (40.48% vs. 23. 91 % respectively; p=0.11) and healing. Conclusion: Both techniques of hysterectomy gave similar outcomes regarding length of hospital stay, operating time, estimated blood loss, surgical costs, post-operative morbidities and clinical judgement of surgeons. In terms of pain, bleeding, discharge and healing, both techniques showed no significant difference. Our study failed to show inferiority in favor of either of the surgical techniques.

hysterectomy, open vaginal cuff technique, closed vaginal cuff technique

" Open Versus Closed Vaginal Cuff Closure Technique Following Elective Abdominal Hysterectomy: A Randomized Controlled Trial", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.7, Issue 12, page no.736-740, December-2020, Available :http://www.jetir.org/papers/JETIR2012094.pdf

" Open Versus Closed Vaginal Cuff Closure Technique Following Elective Abdominal Hysterectomy: A Randomized Controlled Trial", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.7, Issue 12, page no. pp736-740, December-2020, Available at : http://www.jetir.org/papers/JETIR2012094.pdf