Secondary outcome measures were hospital readmission rate, blood transfusion, change in postoperative haemoglobin and length of stay. The primary outcome measure was reduction in postoperative febrile morbidity. The surgical procedures were performed using the surgeons' standard technique and postoperative care was delivered according to the unit's protocol.

The 272 women were randomised to have a drain inserted or not inserted, 'drain' or 'no drain', respectively, before vault closure during vaginal hysterectomy, using a sealed envelope technique. A total of 272 women who underwent vaginal hysterectomy for benign conditions between March 2005 and June 2010. A tertiary referral gynaecology centre in UK. To evaluate the efficacy of vault drainage in reducing the immediate postoperative morbidity associated with vaginal hysterectomy carried out for benign gynaecological conditions. The effects of vault drainage on postoperative morbidity after vaginal hysterectomy for benign gynaecological disease: a randomised controlled trial.ĭua, A Galimberti, A Subramaniam, M Popli, G Radley, S The modification of incision and closure technique of the vaginal vault during vaginal hysterectomy is recommended to minimise intra- and postoperative complications. The length of hospitalization was lower for women in group B (4,3 days compared with 7,3 days). Incidence of postoperative fever was in 12,2% patients from group A, and 1,4% from group B. Loss of blood was higher in group A (310 ml vs 206 ml). The risk of vault haematoma was significantly lower in the group B (1,06% vs 12,4%). Following parameters were evaluated: number of vault haematomas, blood loss, postoperative fever, required antibiotics, length of hospital stay. The study group consisted of 333 women of whom 49 (group A) underwent vaginal hysterectomy traditional technique of incision and closure of the vaginal vault, an 284 (group B) modified technique. The aim of this work was to analyse the effects of a modification of incision and closure technique of the vaginal vault on the incidence of vault haematoma after vaginal hysterectomy. Vault haematoma is one of the most common complication of vaginal hysterectomy. Malinowski, Andrzej MoÅ‚as, Justyna MacioÅ‚ek-Blewniewska, Grazyna CieÅ›lak, JarosÅ‚aw

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