Vaginal Cuff Dehiscence After Robotic Total Laparoscopic Hysterectomy

Vaginal cuff dehiscence with small bowel evisceration after hysterectomy is a rare event that may be occurring more frequently with the advent of robotic laparoscopic hysterectomies. Two women underwent robotic total laparoscopic hysterectomy for menorrhagia and stage I endocervical adenocarcinoma,...

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Bibliographic Details
Published inObstetrics and gynecology (New York. 1953) Vol. 114; no. 2; pp. 369 - 371
Main Authors Robinson, Barbara L., Liao, John B., Adams, Sarah F., Randall, Thomas C.
Format Journal Article
LanguageEnglish
Published Hagerstown, MD by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved 01.08.2009
Lippincott Williams & Wilkins
Subjects
Adenocarcinoma - surgery
Biological and medical sciences
Digestive system. Abdomen
Emergencies
Endoscopy
Female
Gynecology. Andrology. Obstetrics
Humans
Hysterectomy - methods
Investigative techniques, diagnostic techniques (general aspects)
Laparoscopy
Medical sciences
Menorrhagia - surgery
Middle Aged
Postoperative Complications
Robotics
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the genital tract and mammary gland
Surgical Wound Dehiscence
Uterine Cervical Neoplasms - surgery
Vagina - surgery
Cuff
Treatment
Surgery
Gynecology
Dehiscence
Vagina
Laparoscopy
Endoscopy
Hysterectomy
Obstetrics
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Summary:Vaginal cuff dehiscence with small bowel evisceration after hysterectomy is a rare event that may be occurring more frequently with the advent of robotic laparoscopic hysterectomies. Two women underwent robotic total laparoscopic hysterectomy for menorrhagia and stage I endocervical adenocarcinoma, respectively. Each presented 7-8 weeks postoperatively with abdominal pain and vaginal pressure after intercourse. The small bowel protruded into the vagina through the dehisced vaginal cuff. Both cuffs were repaired vaginally with delayed absorbable suture. One repair required revision 7 weeks after the initial repair. Robotic total laparoscopic hysterectomy may be associated with increased risk of vaginal cuff dehiscence and small bowel evisceration. This observation may be because of thermal spread and cuff tissue damage from electrosurgery used for colpotomy.
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ISSN:0029-7844
1873-233X
DOI:10.1097/AOG.0b013e3181af68c6