Complete closure or open healing of the skin of the vaginal stump in vaginal hysterectomy
Yilmaztürk, A.; Soyaslan-Strazenbach, M.; Schlüter, W.
Zentralblatt für Gynakologie 112(13): 827-833
1990
ISSN/ISBN: 0044-4197 PMID: 2238985 Document Number: 351751
This retrospective study covers a period of 10 years (1977-1986) during which a vaginal hysterectomy with or without colporrhaphy was carried out in 431 women. In 317 patients the skin at the end of the vaginal stump was closed primarily, whereas it was left open in 114 patients. Comparing both groups less morbidity-, secretion-, infection- and bleeding-rates can be found in the group with primary closure of the vaginal stump. The healing of the operative wound is much better when closed primarily. Fear of entrapped secretions or formation of abscess or hematoma is not justified.