[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100598142":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":30,"centralContacts":35,"locations":45,"responsibleParty":62,"collaborators":25,"id":65,"slug":66,"hasResults":67,"nctId":68,"briefTitle":69,"officialTitle":70,"acronym":71,"eligibilityCriteria":72,"healthyVolunteers":67,"sex":73,"minAge":74,"maxAge":75,"enrollmentInfo":76,"targetDuration":25,"studyType":79,"phases":80,"briefSummary":82,"conditions":83,"keywords":86,"overallStatus":48,"whyStopped":25,"lastUpdateSubmitDate":89,"lastUpdatePostDateStruct":90,"startDateStruct":93,"completionDateStruct":95,"leadSponsor":97,"locationsCount":98},{"fullName":5,"class":6},"Gaziosmanpasa Research and Education Hospital","OTHER_GOV",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Horizontal Vaginal Cuff Closure","ACTIVE_COMPARATOR","Patients in this group will undergo vaginal hysterectomy with lateral suspension, followed by horizontal closure of the vaginal cuff using standard suturing technique. The effect on postoperative total vaginal length will be evaluated.",[13],"Procedure: Horizontal Vaginal Cuff Closure Technique",{"label":15,"type":10,"description":16,"interventionNames":17},"Vertical Vaginal Cuff Closure","Patients in this group will undergo vaginal hysterectomy with lateral suspension, followed by vertical closure of the vaginal cuff using standard suturing technique. Postoperative vaginal length outcomes will be compared to those of the horizontal closure group.",[18],"Procedure: Vertical Vaginal Cuff Closure Technique",[20,26],{"type":21,"name":22,"description":23,"armGroupLabels":24,"otherNames":25},"PROCEDURE","Horizontal Vaginal Cuff Closure Technique","In this arm, patients undergoing vaginal hysterectomy with lateral suspension will receive horizontal closure of the vaginal cuff. After removal of the uterus, the vaginal cuff is closed in a transverse (right-to-left) direction using standard absorbable sutures. The technique aims to maintain or optimize the anatomical axis and preserve vaginal length in the horizontal plane. The entire procedure is performed under general or regional anesthesia by an experienced surgical team.",[9],null,{"type":21,"name":27,"description":28,"armGroupLabels":29,"otherNames":25},"Vertical Vaginal Cuff Closure Technique","In this arm, patients undergoing vaginal hysterectomy with lateral suspension will receive vertical closure of the vaginal cuff. After the uterus is removed, the vaginal cuff is closed in a cranio-caudal (top-to-bottom) orientation using absorbable sutures. This technique is hypothesized to better support apical structures and reduce tissue tension. Procedures are performed under general or regional anesthesia with standardized operative technique.",[15],[31],{"name":32,"affiliation":33,"role":34},"yagmur acıyiyen, md","Gaziosmanpasa Training and Research Hospital","PRINCIPAL_INVESTIGATOR",[36,41],{"name":37,"role":38,"phone":39,"phoneExt":25,"email":40},"serkan kumbasar, md","CONTACT","+90 5067873216","drserkankumbasar@gmail.com",{"name":42,"role":38,"phone":43,"phoneExt":25,"email":44},"ecenur çelikoğlu, md","+90 538 549 2848","ecenurcelikoglu14@gmail.com",[46],{"facility":47,"status":48,"city":49,"state":25,"zip":25,"country":50,"countryCode":25,"cosmosGeoPoint":51,"geoPoint":56,"contacts":57},"Gaziosmanpaşa Training and Research Hospital","RECRUITING","Istanbul","Turkey (Türkiye)",{"type":52,"coordinates":53},"Point",[54,55],28.94966,41.01384,{"lat":55,"lon":54},[58],{"name":59,"role":38,"phone":60,"phoneExt":25,"email":61},"Serkan kumbasar, Assistant Professor","5067873216","drserkankumbasar@hotmail.com",{"type":34,"investigatorFullName":63,"investigatorTitle":64,"investigatorAffiliation":5,"oldNameTitle":25,"oldOrganization":25},"Serkan Kumbasar","Associate Professor","100598142","post-hysterectomy-vaginal-length-horizontal-vs-vertical-closure-100598142",false,"NCT07067645","Post-Hysterectomy Vaginal Length: Horizontal vs. Vertical Closure","Investigation of the Effect of Horizontal and Vertical Vaginal Cuff Closure on Postoperative Total Vaginal Length in Patients Undergoing Vaginal Hysterectomy and Lateral Suspension","vagina","Inclusion Criteria:\n\n* Cases with vaginal hysterectomy and lateral suspension surgery due to stage 3-4 uterine prolapse Agree to participate in the study and sign the informed consent form\n\nExclusion Criteria:\n\n* Cases that have previously undergone a different suspension surgery due to descent uteri (vaginal hysterectomy and sacrospinous ligament fixation surgery, vaginal hysterectomy and sacrocolopexy surgery, vaginal hysterectomy and high sacouterin plication surgery) Cases that have undergone vaginal hysterectomy due to malignancy Cases that have undergone radiotherapy due to malignancy (brachytherapy) Patients who are not suitable for surgical intervention due to severe vaginal atrophy.\n\nPatients who will not be able to comply with the follow-up process. Not accepting to participate in the study or not signing the informed consent form","FEMALE","35 Years","65 Years",{"count":77,"type":78},62,"ESTIMATED","INTERVENTIONAL",[81],"NA","This prospective clinical study aims to evaluate the impact of vaginal cuff closure orientation-horizontal versus vertical-on postoperative total vaginal length in patients undergoing vaginal hysterectomy combined with lateral suspension. By comparing anatomical outcomes between the two closure techniques, the study seeks to determine which method better preserves vaginal length, potentially influencing surgical preferences and postoperative quality of life.",[84,85],"Prolapse, Vaginal","Vaginal Vault Prolapse",[87,88],"Vault suspension","vaginal length","2025-07-15",{"date":91,"type":92},"2025-07-16","ACTUAL",{"date":94,"type":92},"2025-07-01",{"date":96,"type":78},"2026-03-01",{"name":5,"class":6},1]