Does Vaginal Packing Influence Patient Outcomes Following Vaginal Reconstructive Surgery?
| Status: | Recruiting |
|---|---|
| Healthy: | No |
| Age Range: | 18 - 85 |
| Updated: | 11/8/2014 |
| Start Date: | January 2013 |
| Contact: | Lauren B. Westermann, DO |
| Phone: | 513-862-7265 |
Does Vaginal Packing Influence Patient Outcomes Following Vaginal Reconstructive Surgery? A Randomized Controlled Trial
Vaginal packing is used routinely following vaginal reconstructive surgery. Despite little
data to support the practice, purported benefits include reduced pelvic fluid accumulation
or blood loss. Patients often complain of discomfort associated with the packing or its
removal.
This randomized controlled trial seeks to document differences in subjective impressions of
pain in women undergoing vaginal repairs treated with and without packing. The
investigators also aim to assess differences in postoperative fluid collection in those with
and without packing.
data to support the practice, purported benefits include reduced pelvic fluid accumulation
or blood loss. Patients often complain of discomfort associated with the packing or its
removal.
This randomized controlled trial seeks to document differences in subjective impressions of
pain in women undergoing vaginal repairs treated with and without packing. The
investigators also aim to assess differences in postoperative fluid collection in those with
and without packing.
Inclusion Criteria:
- Any female aged 18-85 planning to undergo a vaginal hysterectomy with vaginal
reconstructive surgery for pelvic organ prolapse, with or without a suburethral
sling. Must be able to speak and read English and be able to understand the informed
consent.
Exclusion Criteria:
- Undergoing abdominal prolapse repair or repairs not involving hysterectomy, use of
mesh, obliterative procedures, concurrent removal of mesh kit, performance of vaginal
relaxing incisions, presence of vaginal, uterine, cervical or ovarian malignancy,
having a clotting disorder, taking anticoagulation, needing heparin prior to surgery,
having intraoperative blood loss greater than 500 cc, or use of regional anesthesia
for surgery.
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