The goal of this clinical trial is to compare the laparoscopic and transvaginal closure techniques of the vaginal vault in patients who perform TLH, regarding the risk of vaginal vault hematoma and other complications as vaginal cuff infection and sexual dysfunction.
Adult females consenting to do TLH all age groups with diagnoses of benign uterine conditions.
Women who are non-obese (normal or overweight women with BMI range 18-29.9).
Sexually active female.
Diagnosed cases of pelvic malignancy
Diagnosed patients with Cervical intraepithelial neoplasia (CIN) or bacterial vaginosis (any infection should be treated)
Obese patients.
Patients currently undergoing treatment for any type of cancer
Parallel
Total laparoscopic hysterectomy
Procedure/SurgeryRemoval of uterus and cervix by laparoscope
Vaginal Vault hematoma
It will be assessed by examination and ultrasound
Bleeding/spotting
I wil be assed by history and examination
Vaginal infection:
It will be assessed by history and examination
Vaginal prolapse
It will be assessed by history and examination
Vaginal cuff granulation
It will be assessed by examination and ultrasound
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