Prophylactic Laparoscopic Suspension After McCall
Prophylactic Laparoscopic Suspension After McCall - Benefit and Longterm Outcome
Insel Gruppe AG, University Hospital Bern
182 participants
May 15, 2021
INTERVENTIONAL
Conditions
Summary
There is prove of prolapse prevention in vaginal hysterectomy using the McCall suture. Poor and especially no long-term data exists for a standardized laparoscopic approach, but the few studies could show good anatomic results. The aim is to test the effectiveness of the laparoscopic McCall suture compared to usual vaginal cuff closure in a randomized controlled double-blinded trial.
Eligibility
Inclusion Criteria5
- LSC simple hysterectomy,
- Neg. SS test if premenopausal
- \>18j,
- Consent to participate in the study
- Understanding of the German language
Exclusion Criteria9
- Prolapse as indication for surgery
- Known or suspected non-compliance
- Additional incontinence procedures
- Patients with deep infiltrating endometriosis
- Irradiation pre- or postoperative
- Pregnancy and lactation.
- Transgender population
- Conversion from laparoscopy to laparotomy
- Inability to understand the study protocol
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Interventions
Laparoscopic suture including the uterosacral ligaments and the peritoneum
Standard laparoscopic barbed suture of the vaginal cuff
Locations(1)
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NCT04560543