Vaginal Cuff Dehiscence and Evisceration: A Review.

Abstract:

:Vaginal cuff dehiscence is an infrequent complication of hysterectomy, with the potential for evisceration and additional morbidity. This review aims to describe the incidence, risk factors, preventative measures, and management. Identification of specific risk factors is problematic because many studies either lack comparison groups or are underpowered as a result of the rarity of this complication. Good surgical technique to optimize vaginal cuff healing and minimize the risk of postoperative cuff infection are important as is avoidance of early intercourse, traumatic vaginal penetration, or excess strain on the vaginal cuff during the postoperative period. Judicious use of electrocautery or other thermal energy, use of delayed absorbable sutures, and adequate tissue bites can further decrease the risk of dehiscence. Prompt recognition and management are critical to achieve best outcomes.

journal_name

Obstet Gynecol

authors

Nezhat C,Kennedy Burns M,Wood M,Nezhat C,Nezhat A,Nezhat F

doi

10.1097/AOG.0000000000002852

subject

Has Abstract

pub_date

2018-10-01 00:00:00

pages

972-985

issue

4

eissn

0029-7844

issn

1873-233X

pii

00006250-201810000-00024

journal_volume

132

pub_type

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