Vaginal vault granulations after total abdominal hysterectomy using polyglactin for vault closure

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 polyglactin. 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.