Effects of Electrosurgery and Vaginal Closure Technique on Postoperative Vaginal Cuff Dehiscence

Abstract

This study suggests that vaginal cuff dehiscence associated with total laparoscopic hysterectomy is due to vaginal cuff closure technique rather than the use of electrosurgery.

Vaginal cuff dehiscence is observed in a higher rate after total laparoscopic hysterectomy compared with other types of hysterectomy

“…[1][2][3]8,9 In line with previous studies, the incidence was highest after a TLH. [1][2][3]8,9 In line with previous studies, the incidence was highest after a TLH.…”

“…The overall rate of post-hysterectomy VCD (0.15%) in our study is in line with the literature, reporting an incidence of 0%-4%. [1][2][3]8,9 In line with previous studies, the incidence was highest after a TLH. [1][2][3][4] Before the introduction of TLH, there were only a few VCDs in our clinic; likewise, none was reported in two nationwide Finnish studies that analyzed hysterectomies performed in 1996 and 2006.…”

“…[7][8][9][10] Cuff dehiscence can vary from partial opening of the vaginal wound to serious evisceration of the contents of the abdominal cavity into the vagina. [7][8][9][10] Cuff dehiscence can vary from partial opening of the vaginal wound to serious evisceration of the contents of the abdominal cavity into the vagina.…”

“…Putative explanations for VCD range from the use and mode of electrosurgery in the techniques for opening the vagina as well as the closing technique and material to the women's characteristics and the experience of the surgeon. [7][8][9][10] Cuff dehiscence can vary from partial opening of the vaginal wound to serious evisceration of the contents of the abdominal cavity into the vagina. 11 During the past few years we have also noticed an increasing rate of VCD in our hospital district.…”

Single-layer versus double-layer closure of the vaginal cuff with barbed sutures in laparoscopic hysterectomy

“…Vaginal cuff dehiscence (VCD) is a partial or total separation of the edges of the vaginal cuff with or without bowel evisceration [7]. This complication is more common with LH when compared with both abdominal and vaginal approaches [8].…”