Fallopian Tube Prolapse After Total Laparoscopic Hysterectomy

Caceres, Aileen; McCarus, Steven D

doi:10.1097/aog.0b013e3181802782

Cited by 21 publications

(5 citation statements)

References 9 publications

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“…Over two thirds of the cases reported in the literature occurred after abdominal hysterectomy. Note that it is widely believed that the laparoscopic approach is associated with an increased risk of vaginal cuff dehiscence [7]. …”

Section: Discussionmentioning

confidence: 99%

Fallopian Tube Prolapse after Hysterectomy: A Systematic Review

2013

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BackgroundProlapse of the fallopian tube into the vaginal vault is a rarely reported complication that may occur after hysterectomy. Clinicians can miss the diagnosis of this disregarded complication when dealing with post-hysterectomy vaginal bleeding.ObjectivesWe performed a systematic review in order to describe the clinical presentation, therapeutic management and outcome of fallopian tube prolapse occurring after hysterectomy.Search StrategyA systematic search of MEDLINE and EMBASE references from January 1980 to December 2010 was performed. We included articles that reported cases of fallopian tube prolapse after hysterectomy. Data from eligible studies were independently extracted onto standardized forms by two reviewers.ResultsTwenty-eight articles including 51 cases of fallopian tube prolapse after hysterectomy were included in this systematic review. Clinical presentations included abdominal pain, dyspareunia, post- coital bleeding, and/or vaginal discharge. Two cases were asymptomatic and diagnosed at routine checkup. The surgical management reported comprised partial or total salpingectomy, with vaginal repair in some cases combined with oophorectomy using different approaches (vaginal approach, combined vaginal-laparoscopic approach, laparoscopic approach, or laparotomy). Six patients were initially treated by silver nitrate application without success.ConclusionsThis systematic review provided a precise summary of the clinical characteristics and treatment of patients presenting with fallopian tube prolapse following hysterectomy published in the past 30 years. We anticipate that these results will help inform current investigations and treatment.

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Section: Discussionmentioning

confidence: 99%

Fallopian Tube Prolapse after Hysterectomy: A Systematic Review

2013

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“…The contributing factors to cuff dehiscence are thought to be thermal tissue damage during colpotomy, suboptimal cuff closure, and early resumption of intercourse. 3,4,6,7 Recent reports seem to suggest that robotic-assisted hysterectomy may share a similarly increased risk of cuff dehiscence, 2,9 which further underscores the possible role of thermal tissue necrosis and devascularization in this complication, as monopolar electrocautory is the main energy modality used during colpotomy in the robotic approach. In this case, we believe early resumption of intercourse was a significant contributing factor to the cuff dehiscence along with ultrasonic-induced tissue damage of the Harmonic scalpel (Ethicon Endo-Surgery, Cincinnati, OH).…”

Section: Discussionmentioning

confidence: 99%

“…1 Prolapse cases involving the omentum, colon, and fallopian tube have also been described after hysterectomy. 1,7 We present the first known case of prolapsed epiploica of the sigmoid colon through the vaginal cuff after total laparoscopic hysterectomy. The only other case of prolapsed epiploica after hysterectomy was described by Lane in 1965, 8 which involved appendiceal epiploica in a 73-year-old patient, 6 years after concurrent vaginal hysterectomy and repeat enterocele repair.…”

Section: Discussionmentioning

confidence: 99%

Prolapsed Epiploica of the Sigmoid Colon After Total Laparoscopic Hysterectomy

Askari

Ravangard²,

Ghomi³

2011

JSLS

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“…18,19 A second point of consideration concerning the removal of the fallopian tubes and ovaries is the uncommon but reported complication of fallopian tube prolapse after laparoscopic hysterectomy. 20 …”

Section: : Intrafascial Hysterectomy With Preservation Of Existing Smentioning

confidence: 99%