Energy-based Opportunistic Salpingo-oophorectomy During Vaginal Hysterectomy - Comparing LigaSure Maryland Device to Conventional Knot-and-cut Approach

What this Trial Is About

Researchers are comparing two methods for removing the fallopian tubes and ovaries during vaginal hysterectomy in women with pelvic organ prolapse. The study aims to evaluate whether an energy-based device called LigaSure Maryland is as safe or more effective than the standard surgical approach of clamping, cutting, and suturing. This randomized controlled study focuses on procedure duration, blood loss, pain after surgery, hospital stay length, and complication rates. Participants will be randomly assigned to one of two groups: one group will undergo salpingo-oophorectomy using the LigaSure Maryland energy-based vessel sealing device, while the other group will receive the standard surgical technique. The removal of fallopian tubes and ovaries will be decided before surgery based on medical guidelines. Surgeons will know which technique is used, but participants will not. During the study, participants will be monitored for the time taken to complete the salpingo-oophorectomy, estimated blood loss, pain levels within 24 hours after surgery, length of hospital stay, and any surgical complications up to 30 days after the operation. Data will be analyzed only for those whose surgery follows the assigned technique. The total hospital stay is expected to be between 1 to 5 days, with the procedure lasting about 5 to 30 minutes.

Are There Benefits of Using Energy-based Devices for Opportunistic Salpingo-oophorectomy During Vaginal Hysterectomy Compared to a Standard Cold Approach?