الفهرس 
HYSTERECTOMYOnly 14 pages are availabe for public view
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Abstract
Background: Hysterectomy can result in a number of problems, including vaginal cuff dehiscence, genitourinary, gastrointestinal tracts, and nerves injuries, bleeding, infections, and thrombosis. In addition to these recognized morbidities, its implications on females’ sexuality and reproductive functioning are debatable irrespective of the surgical strategy.
Aim of the Work: to compare the effects of vertical against horizontally vaginal cuff closures on postoperatively vaginal length following complete laparoscopic hysterectomy.
Patients and Methods: This prospective interventional investigation was carried out at a tertiary care hospital at Ain Shams University Maternity Hospital from January 2022 to February 2023 on a total of 20 women who arranged to endure an overall laparoscopic hysterectomy with or without the removal of adnexal constructions after receiving ethics committees authorization and informed consent from the participants.
Results: This analysis revealed no discernible differences in the retention of vaginal length following laparoscopic hysterectomy among horizontal and vertical cuffs closures.
Conclusion: Thus, the surgeon’s preferred approach for vaginal cuffs closures should be used. Further number of patients enrolled with a greater number of participants and the use of a structured questionnaire in a more sexually active patients could clarify as to if horizontal or vertical vaginal cuffs closures are superior for conserving vaginal length and healthy sexual operation, even though we do not currently have enough capacity to identify distinctions among groups.