Hye-Chun Hur1, Michelle Lightfoot, Miranda Gomez McMillin, Kimberly A Kho. 1. aDepartment of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts bDepartment of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, Texas, USA *Hye-Chun Hur and Michelle Lightfoot contributed equally to the writing of this article.
Abstract
PURPOSE OF REVIEW: Vaginal cuff dehiscence and evisceration are rare but potentially serious complications of hysterectomy. In this article, we review the incidence, risk factors, management, and preventive measures for dehiscence based on available literature. RECENT FINDINGS: Identifying risk factors for dehiscence is challenging because studies lack comparison groups and most studies are largely underpowered to draw concrete conclusions. SUMMARY: High-quality data on cuff dehiscence after hysterectomy are limited. Potentially modifiable risks that optimize vaginal wound healing, minimize vaginal cuff strain, and minimize cuff infection should be optimized.
PURPOSE OF REVIEW: Vaginal cuff dehiscence and evisceration are rare but potentially serious complications of hysterectomy. In this article, we review the incidence, risk factors, management, and preventive measures for dehiscence based on available literature. RECENT FINDINGS: Identifying risk factors for dehiscence is challenging because studies lack comparison groups and most studies are largely underpowered to draw concrete conclusions. SUMMARY: High-quality data on cuff dehiscence after hysterectomy are limited. Potentially modifiable risks that optimize vaginal wound healing, minimize vaginal cuff strain, and minimize cuff infection should be optimized.
Authors: Yacine Ben Safta; Montassar Ghalleb; Aymen Baccari; Ghassen Hamdi El Kebir; Sami Daldoul; Sofiene Sayari; Mounir Ben Moussa Journal: Int J Surg Case Rep Date: 2017-10-28