Evaluation of post hysterectomy vaginal cuff related complications and their management after different modes of hysterectomy

Hamal, Shreejana; Hui, Ju Wen; Wang, Rong; Hui, Li

doi:10.5455/2320-1770.ijrcog20150432

Cited by 3 publications

(3 citation statements)

References 12 publications

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“…Hamal revealed incidence of vaginal cuff related complication after TAH, 0.18% for vaginal cuff dehiscence, 1% for vaginal cuff bleeding and infection. All of them were symptomatic.…”

Section: Discussionmentioning

confidence: 94%

Incidence of complete vaginal cuff wound healing at sixth and eighth week after total abdominal hysterectomy

Watcharaprapapong

Treetampinich

Ayudhya

et al. 2018

J of Obstet and Gynaecol

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Aim: To assess the incidence and risk factors of complete vaginal cuff wound healing at sixth and eighth week after total abdominal hysterectomy (TAH). Methods: A retrospective chart review of women who underwent TAH for benign conditions from January 2015 to December 2015 at Ramathibodi Hospital was conducted. The primary outcome was the incidence of complete vaginal cuff healing at 6 and 8 weeks after operation as determined by complete vaginal mucosal approximation without the presence of suture material or granulation tissue. Results: The medical records of 235 patients who underwent TAH for benign conditions were reviewed. The incidence of complete vaginal cuff wound healing at 6 and 8 weeks after operation were 189 and 225 cases, respectively (80.4% vs 95.7%, P value <0.001). Forty-six (19.6%) patients had incomplete vaginal cuff healing at 6 weeks after operation. Of those, 33 patients had vaginal cuff granulation. Spontaneous regression of lesions had occurred in 69.7% at 8 weeks. Independent risk factors of delay vaginal cuff healing were the used of electrosurgery for vaginal incision (adjusted odds ratio 13.4, 95% confidence interval 2.63-67.74) and suturing cuff with continuous technique (adjusted odds ratio 9.1, 95% confidence interval 2.12-39.01). Conclusion: The incidence of complete vaginal cuff wound healing was significantly higher at 8 weeks than at 6 weeks after TAH for benign conditions. Therefore, 8 weeks after operation would be an appropriate time for the first vaginal cuff examination.

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“…Hamal revealed incidence of vaginal cuff related complication after TAH, 0.18% for vaginal cuff dehiscence, 1% for vaginal cuff bleeding and infection. All of them were symptomatic.…”

Section: Discussionmentioning

confidence: 94%

Incidence of complete vaginal cuff wound healing at sixth and eighth week after total abdominal hysterectomy

Watcharaprapapong

Treetampinich

Ayudhya

et al. 2018

J of Obstet and Gynaecol

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“…The reported rates of VCD varied between 0.02% [ 4 ] and 4.2% [ 5 ], with other studies falling within this range [ 3 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 ]. Some studies focused on specific hysterectomy types, providing incidence ranges for each surgical approach, as shown in Table 1 .…”

Section: Review Of the Literaturementioning

confidence: 99%

“…Different conclusions were drawn when comparing VCD rates among various types of hysterectomy. Some proved a statistically significant higher incidence of VCD in TLH compared to both TAH and VH [ 6 , 8 , 10 , 16 , 17 , 26 , 27 ]. Ala Nissilä et al [ 3 ] noticed a rise of cases of VCD, parallel to a rise in the number of total laparoscopic hysterectomies in their institution.…”

Section: Review Of the Literaturementioning

confidence: 99%

Vaginal Cuff Dehiscence: Two Case Reports and a Review of the Literature

Jaime Moens,

Buonomo,

De Sutter

2023

JCM

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Vaginal cuff dehiscence (VCD) is a rare but serious condition associated with high morbidity, especially in the presence of an evisceration. It usually occurs as a complication of hysterectomy, but has also been reported after other pelvic surgeries. In this article, we will present two cases of vaginal cuff dehiscence with evisceration in post-menopausal patients. Both cases occurred post-operatively, the first after a laparoscopic radical hysterectomy and the other after a trachelectomy performed by robotic-assisted laparoscopy (with a prior history of subtotal hysterectomy). Both cases were treated surgically, the first by a combined laparoscopic and vaginal approach, and the second case only by laparoscopic approach. The main risk and protective factors are discussed in a narrative literature review which summarizes the available evidence on this rare condition, discussed by type of study designs and thus evidence level. A laparoscopic vaginal cuff closure is the most protective factor in preventing VCD, compared to a vaginal closure. Clinicians should be aware of this condition and of its risk factors and precipitating events in order to identify high-risk patients. Knowledge of these allows prompt recognition, which is crucial for adequate management, for which multiple approaches have been described.

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Comparison of postoperative vaginal length and cuff hematoma in patients undergoing hysterectomy by laparoscopy or laparotomy

Şimşek

Kadiroğullari

Seçkin

et al. 2019

Turkish Journal of Clinics and Laboratory

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Evaluation of post hysterectomy vaginal cuff related complications and their management after different modes of hysterectomy

Abstract: However, variety of complications can be occurred with hysterectomies during intra-operative such as

Cited by 3 publications

References 12 publications

Incidence of complete vaginal cuff wound healing at sixth and eighth week after total abdominal hysterectomy

Incidence of complete vaginal cuff wound healing at sixth and eighth week after total abdominal hysterectomy

Vaginal Cuff Dehiscence: Two Case Reports and a Review of the Literature

Comparison of postoperative vaginal length and cuff hematoma in patients undergoing hysterectomy by laparoscopy or laparotomy

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