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Original ArticleOpen Access
Vaginal Vault Granulations After Total Abdominal Hysterectomy Polyglactin for Vault Closure Using
Tannirandorn Y 
,
Tuchinda K
,
Tuchinda K The purpose of this study was to determine the incidence of vaginal vault granulation
after total abdominal hysterectomy using polyglactin (Vicryl) for vault closure. Fifty women who
underwent total abdominal hysterectomy for benign and elective conditions were included into the
study. Standard surgical technique of total abdominal hysterectomy was employed except for
closure of the vaginal vault performed by interrupted figure-of-eight sutures using No.
1
poly-
glactin. All patients were prospectively followed-up at approximately 6 weeks postoperatively and
vaginal vault granulation was diagnosed as present or absent. It was found that 5 patients had
vaginal vault granulation without any symptoms, giving the incidence of 10 per cent. One patient
who developed vault granulation had postoperative morbidity from cuff cellulitis. The remaining
49 patients had no immediate postoperative complications.
Key word
: Vault Granulation, Vault Closure, Hysterectomy
after total abdominal hysterectomy using polyglactin (Vicryl) for vault closure. Fifty women who
underwent total abdominal hysterectomy for benign and elective conditions were included into the
study. Standard surgical technique of total abdominal hysterectomy was employed except for
closure of the vaginal vault performed by interrupted figure-of-eight sutures using No.
1
poly-
glactin. All patients were prospectively followed-up at approximately 6 weeks postoperatively and
vaginal vault granulation was diagnosed as present or absent. It was found that 5 patients had
vaginal vault granulation without any symptoms, giving the incidence of 10 per cent. One patient
who developed vault granulation had postoperative morbidity from cuff cellulitis. The remaining
49 patients had no immediate postoperative complications.
Key word
: Vault Granulation, Vault Closure, Hysterectomy
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