Vaginal herniation: Case report and review of the literature

Nasr, Ayman; Tormey, Shona; Aziz, M.; Lane, Brian

doi:10.1016/j.ajog.2004.12.022

Cited by 35 publications

(34 citation statements)

References 12 publications

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“…Whether vaginal dehiscence is related to the technique of laparoscopic suturing is unclear [14]. Multiple factors may be involved including increased abdominal pressure from frequent straining or Valsalva, vaginal trauma, smoking, menopause, history of pelvic surgery, connective tissue disease, prior vaginoplasty, and corticosteroid use [12,15]. Premenopausal women appear to be at greater risk for vaginal dehiscence after coitus [16,17].…”

Section: Discussionmentioning

confidence: 99%

“…Premenopausal women appear to be at greater risk for vaginal dehiscence after coitus [16,17]. In young patients, sexual intercourse may be the main cause of vaginal cuff dehiscence before complete healing of the vaginal cuff [15]. Total laparoscopic hysterectomies appear to have a significantly increased risk for vaginal cuff dehiscence compared to other modes of hysterectomy [18].…”

Section: Discussionmentioning

confidence: 99%

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Vaginal Cuff Closure: A Comparison between the Vaginal Route and Laparoscopic Suture in Patients Undergoing Total Laparoscopic Hysterectomy

Hwang

Lee

et al. 2010

Gynecol Obstet Invest

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Background: To compare the vaginal route and laparoscopic suture for vaginal cuff closure (VCC) in patients undergoing a total laparoscopic hysterectomy (TLH). Methods: A total of 471 women who required hysterectomy were allocated to two groups. 261 women had TLH via VCC by the vaginal route and 210 women had TLH via VCC by laparoscopic suture. All TLHs were performed by the same laparoscopic surgeon. Results: The cuff-related complications included vaginal disruption (3.4%), dehiscence (1.27%), vaginal vault bleeding (1.91%), vaginal spotting (19.32%), granulation (1.27%), cuff infection (1.49%), and yellowish vaginal discharge (6.16%). No difference in vaginal cuff complications was found between the laparoscopic and vaginal approach. The median operation time was significantly shorter for the laparoscopic suture (76.74 min, range 40–220; 95% CI 74.84–83.45) than the vaginal route for VCC (85.77 min, range 45–290; 95% CI 86.87–95.36) after hysterectomy (p < 0.001). Conclusion: For VCC with TLH, laparoscopic suture was a safe and less time-consuming procedure. The cuff-related complications were similar in the two groups.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Vaginal Cuff Closure: A Comparison between the Vaginal Route and Laparoscopic Suture in Patients Undergoing Total Laparoscopic Hysterectomy

Hwang

Lee

et al. 2010

Gynecol Obstet Invest

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“…Without appropriate surgical referral, localized obstruction may progress to eventual sepsis from perforation and death. Multiple loops of eviscerated bowel may make for an obvious and dramatic diagnosis, as pictured in various previous case reports (3,5,7,8). However, much smaller amounts of exposed viscera, as in our case, may be difficult to differentiate from vaginal mucosa, thus prolonging the time to definitive diagnosis and management.…”

Section: Discussionmentioning

confidence: 61%

Subtle Vaginal Evisceration Resulting in Small Bowel Evisceration: A Case Report

Woo

Linden

Lowenstein

et al. 2012

The Journal of Emergency Medicine

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“…3,7 Bowel inspection can be performed by using the laparoscopic technique, and recenetly combined vaginal and laparoscopic repair have been reported. 3,4,8 The use of the omental flap during laproscpic repair has been described to insure improved healing of the vaginal cuff. 9…”

Section: Discussionmentioning

confidence: 99%

Vaginal Evisceration 4.5 Months After Total Abdominal Hysterectomy

Erlik

Levin

Lessing

et al. 2008

Journal of Gynecologic Surgery

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In this paper, we describe a small-bowel vaginal evisceration occurring 4.5 months following total abdominal hysterectomy. We also report current opinion and treatment of this possibly under-reported complication. Vaginal evisceration is an important and underestimated complication of hysterectomy. A recent retrospective study showed an incidence of 0.28% in women following hysterectomy. In this paper, we describe a 66-year-old woman who presented to our emergency department with a small-bowel vaginal evisceration 4.5 months after she had undergone a total abdominal hysterectomy. We also present an updated review of current thinking on vaginal evisceration and propose risk factors and methods of treatment for this condition. (J GYNECOL SURG 24:117) 117

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Vaginal herniation: Case report and review of the literature

Cited by 35 publications

References 12 publications

Vaginal Cuff Closure: A Comparison between the Vaginal Route and Laparoscopic Suture in Patients Undergoing Total Laparoscopic Hysterectomy

Vaginal Cuff Closure: A Comparison between the Vaginal Route and Laparoscopic Suture in Patients Undergoing Total Laparoscopic Hysterectomy

Subtle Vaginal Evisceration Resulting in Small Bowel Evisceration: A Case Report

Vaginal Evisceration 4.5 Months After Total Abdominal Hysterectomy

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