Incidence and patient characteristics of vaginal cuff dehiscence after different modes of hysterectomies

Hur, Hye-Chun; Guido, Richard S.; Mansuria, Suketu; Hacker, Michele R.; Sanfilippo, Joseph S.; Lee, Ted T.

doi:10.1016/j.jmig.2006.11.005

Cited by 236 publications

(242 citation statements)

References 9 publications

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“…Such an adverse effect mainly depends on the closing technique used on the vaginal cuff [16,17], the suture material used [17,18], and finally, the type of energy used for the colpotomy and the hemostasis of the vaginal cuff [19][20][21][22]. Blikkendaal [7] published a retrospective study in which he describes the incidence of vaginal cuff dehiscence in patients after a total laparoscopic hysterectomy.…”

Section: Discussionmentioning

confidence: 99%

The Use of Barbed Suture for Vaginal Cuff Closure in Total Laparoscopic Hysterectomy

Roda JL

2015

OGIJ

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Section: Discussionmentioning

confidence: 99%

The Use of Barbed Suture for Vaginal Cuff Closure in Total Laparoscopic Hysterectomy

Roda JL

2015

OGIJ

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“…TLH was reported as a significant risk factor for vaginal cuff dehiscence [6,10]. Extensive tissue destruction caused by thermal injury at the time of colpotomy using monopoloar scissors makes the vaginal cuff vulnerable to delayed healing and dehiscence.…”

Section: Open Accessmentioning

confidence: 99%

“…Extensive tissue destruction caused by thermal injury at the time of colpotomy using monopoloar scissors makes the vaginal cuff vulnerable to delayed healing and dehiscence. In order to avoid or lessen such avaginal cuff complication, topical injection of a vasoconstrictor at the colpotomy site followed by a sharp colpectomy using a laparoscopic scalpel should be considered [10]. In this study, vaginal cuff open and closure in single-port laparoscopic hysterectomy was performed like vaginal hysterectomy, so that there was no accident of cuff complication.…”

Section: Open Accessmentioning

confidence: 99%

Single port laparoscopic hysterectomy: Feasibility and safety

Lee¹,

Yang²,

Ku³

et al. 2013

OJOG

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Objective: To evaluate the feasibility and safety of single-port laparoscopic hysterectomy comparing with multi-port laparoscopic hysterectomy in treatment of benign uterine diseases. Methods: Data were collected retrospectively by review of the medical records of 252 patients who underwent multi-port or single-port laparoscopic surgery for treatment of benign gynecologic diseases. Laparoscopy assisted vaginal hysterectomy (LAVH) was performed for single-port surgery and LAVH and total laparoscopic hysterectomy (TLH) were performed for multi-port surgery. Demographic variables were collected and analyzed by independent t-test and Pearson Chi-Square test. The primary outcome was analyzed by independent t-test and Fisher's Exact test. Results: A longer operative time was observed in the multi-port surgery group compared with that of the single-port group (p < 0.05). No difference with respect to change of Hemoglobin between the preoperative level and that of the postoperative first day, the number of days from the operation to discharge, uterine weight, and the rate of laparotomy conversion and complications were observed between the two groups. Conclusion: Single-port laparoscopic hysterectomy for treatment of benign uterine diseases is a safe and feasible method.

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“…Besides, a study factors the cuff might be exposed to during healing process (increase in intra abdominal pressure, sexual intercourse) should be considered. Also, thermal energy used for entering the vagina during laparoscopy causes delay in healing of the wound edges (5,6) . Therefore, in the closure of vaginal cuff, material that is more elastic and that maintains the tension force for a longer period should be preferred.…”

Section: Review (Derleme)mentioning

confidence: 99%