Comparative analysis of total laparoscopic and vaginal hysterectomies – vaginal cuff dehiscence as a complication

Marika Japaridze, Arsen Gvenetadze

Abstract


Vaginal cuff dehiscence is a rare complication after hysterectomy. Recent reviews describe a disproportionate number of vaginal cuff dehiscence occurring after total laparoscopic hysterectomy, suggesting that vaginal cuff dehiscence may be a more common complication of laparoscopic hysterectomy than vaginal hysterectomy. We describe three cases of vaginal cuff dehiscence after laparoscopic hysterectomy. Total laparoscopic hysterectomy may be associated with increased risk of vaginal cuff dehiscence and small bowel evisceration , which is be caused from a thermal spread and cuff tissue damage from electro-knife used for colpotomy. Method of cuff suturing also may be associated with cuff dehiscence.  


Keywords


Cuff dehiscence, Hysterectomy, Total laparoscopic hysterectomy, Vaginal hysterectomy, Electro-knife, Vaginal cuff suture.

Full Text:

PDF

References


Cronin B, Sung VW, Matteson KA. Vaginal cuff dehiscence: risk factors and management. American journal of obstetrics and gynecology. 2012 Apr 30;206(4):284-8.

Hur HC, Guido RS, Mansuria SM, Hacker MR, Sanfilippo JS, Lee TT. Incidence and patient characteristics of vaginal cuff dehiscence after different modes of hysterectomies. Journal of Minimally Invasive Gynecology. 2007 Jun 30;14(3):311-7.

Blikkendaal MD, Twijnstra AR, Pacquee SC, Rhemrev JP, Smeets MJ, De Kroon CD, Jansen FW. Vaginal cuff dehiscence in laparoscopic hysterectomy: influence of various suturing methods of the vaginal vault. Gynecological surgery. 2012 Nov 1;9(4):393-400.

RIBEIRO R, LIMBERGER LF, KONDO W, VENDRAME C, LINHARES JC. Laparoscopic Radical Hysterectomy and Pelvic Lymphadenectomy in the Treatment of Cancer of the Cervix. Braz. J. Video-Sur. 2013;6(2):060-9.

Koo YJ, Kim DY, Kim JH, Kim YM, Kim YT, Nam JH. Vaginal cuff dehiscence after hysterectomy. International Journal of Gynecology & Obstetrics. 2013 Sep 1;122(3):248-52.

Cronin B, Sung VW, Matteson KA. Vaginal cuff dehiscence: risk factors and management. American journal of obstetrics and gynecology. 2012 Apr 30;206(4):284-8.

Uccella S, Ceccaroni M, Cromi A, Malzoni M, Berretta R, De Iaco P, Roviglione G, Bogani G, Minelli L, Ghezzi F. Vaginal cuff dehiscence in a series of 12,398 hysterectomies: effect of different types of colpotomy and vaginal closure. Obstetrics & Gynecology. 2012 Sep 1;120(3):516-23.

Uccella S, Ceccaroni M, Cromi A, Malzoni M, Berretta R, De Iaco P, Roviglione G, Bogani G, Minelli L, Ghezzi F. Vaginal cuff dehiscence in a series of 12,398 hysterectomies: effect of different types of colpotomy and vaginal closure. Obstetrics & Gynecology. 2012 Sep 1;120(3):516-23.

Hur HC, Donnellan N, Mansuria S, Barber RE, Guido R, Lee T. Vaginal cuff dehiscence after different modes of hysterectomy. Obstetrics & Gynecology. 2011 Oct 1;118(4):794-801.

Cronin B, Sung VW, Matteson KA. Vaginal cuff dehiscence: risk factors and management. American journal of obstetrics and gynecology. 2012 Apr 30;206(4):284-8.

Robinson BL, Liao JB, Adams SF, Randall TC. Vaginal cuff dehiscence after robotic total laparoscopic hysterectomy. Obstetrics and gynecology. 2009 Aug;114(2 Pt 1):369.


Refbacks

  • There are currently no refbacks.


Bookmark and Share


 

Become a REVIEWER 

 

ISSN: 2346-8491 (online)