Obstet Gynecol 2021 Jul;138(1):59-65
Obstetrics, Gynecology and Reproductive Sciences, Magee-Womens Hospital of UPMC, Pittsburgh, Pennsylvania; Obstetrics and Gynecology, Mercy Medical Center, Baltimore, Maryland; IVF and Minimally Invasive Gynecological Surgery, Moulana Hospital, Perinthalmanna, India; the Uniformed Services University, Bethesda, Maryland; and the Clinical and Translational Science Institute, Office of Clinical Research, University of Pittsburgh, Pittsburgh, Pennsylvania.
Objective: To explore whether two-layer laparoscopic vaginal cuff closure at the time of laparoscopic hysterectomy is associated with a lower rate of postoperative complications compared with a standard one-layer cuff closure.
Methods: A retrospective cohort study of total laparoscopic hysterectomies performed by fellowship-trained minimally invasive gynecologic surgeons between 2011 and 2017 was performed. Surgeons sutured the vaginal cuff laparoscopically, either in a two- or one-layer closure. Read More