Ajay Agrawal1,2, Kuan-Gen Huang3,4, Marie Christine Valerie Mendoza5. 1. Department of Obstetrics and Gynecology, BP Koirala Institute of Health Sciences, Dharan-17, Sunsari, State No-1, Sunsari, Nepal. drajayagrawal1980@gmail.com. 2. Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital at Linkou, Kweishan, Taoyuan, Taiwan. drajayagrawal1980@gmail.com. 3. Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital at Linkou, Kweishan, Taoyuan, Taiwan. 4. Chang Gung University College of Medicine, Kweishan, Taoyuan, Taiwan. 5. Department of Obstetrics and Gynecology, University of the Philippines - Philippine General Hospital, Manila, Philippines.
Abstract
BACKGROUND: Vaginal cuff dehiscence is a rare but potentially grave complication after total hysterectomy. Abdominal or pelvic contents are at risk of evisceration through the vaginal opening. It is associated with significant risk for patient morbidity, such as peritonitis, bowel injury, and sepsis. CASE PRESENTATION: We report a case of vaginal cuff dehiscence in a 45-year-old multiparous Taiwanese woman who had undergone abdominal total hysterectomy and presented with vaginal cuff dehiscence precipitated by sexual intercourse. Immediate laparoscopic repair was done. Few authors have reported the utilization of the laparoscopic approach. It allows thorough inspection, visualization, and irrigation of the abdominal cavity. It is also associated with fewer intraoperative and postoperative complications. CONCLUSION: Laparoscopic repair is a safe treatment option to manage vaginal cuff dehiscence after total hysterectomy.
BACKGROUND: Vaginal cuff dehiscence is a rare but potentially grave complication after total hysterectomy. Abdominal or pelvic contents are at risk of evisceration through the vaginal opening. It is associated with significant risk for patient morbidity, such as peritonitis, bowel injury, and sepsis. CASE PRESENTATION: We report a case of vaginal cuff dehiscence in a 45-year-old multiparous Taiwanese woman who had undergone abdominal total hysterectomy and presented with vaginal cuff dehiscence precipitated by sexual intercourse. Immediate laparoscopic repair was done. Few authors have reported the utilization of the laparoscopic approach. It allows thorough inspection, visualization, and irrigation of the abdominal cavity. It is also associated with fewer intraoperative and postoperative complications. CONCLUSION: Laparoscopic repair is a safe treatment option to manage vaginal cuff dehiscence after total hysterectomy.