Evaluation of post hysterectomy vaginal cuff related complications and their management after different modes of hysterectomy

نویسندگان

  • Shreejana Hamal
  • Ju Wen Hui
  • Wang Xian Rong
  • Li Hui
چکیده

Background: Aim: To update the incidence of vaginal cuff related complications after different modes of hysterectomy and their management. Methods: The study was conducted in Jingzhou central hospital, Jingzhou, Hubei, China. Patient’s case files were reviewed who had undergone Hysterectomy from 1 st Jan. 2013 31 st Dec. 2014. The incidence of vaginal cuff related complications were retrospectively evaluated by different approaches. Data were collected according to our inclusion criteria and statistically analyzed its significance (P <0.05). Results: 887 patients underwent hysterectomy during 2 years of study period. Mean age was 54 ± 4 years. Overall incidence of vaginal cuff related complications were 34 (3.83%) which included vaginal cuff bleeding 12 (1.35%), vaginal cuff infections 16 (1.80%) and vaginal cuff dehiscence 6 (0.67%) without evisceration. Laparoscopic hysterectomy had higher incidence (6.12%), than open abdominal (2.56%) and vaginal (3.22%) hysterectomy. Incidences were significant (P = 0.032) to approaches of hysterectomy. The Incidence of vaginal cuff dehiscence between Laparoscopic and Open abdominal hysterectomy were significant (P = 0.015) but the incidence of vaginal cuff bleeding (P = 0.90) and vaginal cuff infection (P = 0.74) were not significant. Over all incidences were higher in malignancy (61%) than benign (20%). Conclusions: Study suggests that vaginal cuff bleeding, cuff infection, cuff dehiscence and evisceration are rare but not negligible which may lead into catastrophic conditions. Early diagnosis and appropriate management reduces further complications. Partial cuff dehiscence can be managed conservatively without surgical repair with satisfactory outcome.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

پارگی کاف واژن به دنبال مقاربت، قبل از سن یائسگی و پس از عمل جراحی هیسترکتومی- گزارش یک مورد

Post-hysterectomy vaginal cuff dehiscence in premenopausal patients and rectal prolapse during sexual intercourse are very rare. This phenomenon is potentially more dangerous than hysterectomy. In this report, a 49 year old premenopausal woman is presented with post-hysterectomy vaginal cuff dehiscence after vaginal intercourse. She was previously underwent laparoscopic hysterectomy because ...

متن کامل

Coitus Induced Vaginal Evisceration Through Vaginal Cuff Dehiscence After Radical Hysterectomy - A Rare Case Report

Vaginal evisceration of small bowel through vaginal cuff dehiscence after total abdominal hysterectomy is a rare complication in case of pre-menopausal women, which is sporadically mentioned in the literature. We have reported a case of small bowel evisceration through vaginal cuff dehiscence within two hours of first vaginal intercourse following 48 days of Radical hysterectomy which was indic...

متن کامل

Comparison of laparoscopically assisted vaginal hysterectomy and total abdominal hysterectomy

  Abstract   Background: Hysterectomy is the second most common major surgery procedure   done after cesarean section by gynecologists in many countries and the most common   procedure is total abdominal hysterectomy (TAH). The incidence of laparoscopically assisted vaginal hysterectomy (LAVH) performed for benign lesions has progressively increased in recent years. Our objective was to compare...

متن کامل

Evaluation of risk factors of vaginal cuff dehiscence after hysterectomy

OBJECTIVE The purpose of this study was to evaluate risk factors of vaginal cuff dehiscence or evisceration according to the type of operation. METHODS Medical records of 604 women who underwent hysterectomies at Korea University Anam Hospital between June 2007 and June 2011 were reviewed. They were allocated to six groups. The six types of hysterectomies included robotic hysterectomy (n = 7)...

متن کامل

کاربرد ژل واژینال پوویدون یداین قبل از جراحی در هیسترکتومی شکمی: کارآزمایی بالینی تصادفی

Background: Infectious complications of hysterectomy remain common despite the use of antibiotic. The usual existing methods of preoperative antisepsis do not control the vaginal bacteria that are the primary cause of contamination at the surgical site. Our goal was to assess whether febrile morbidity after total abdominal hysterectomy is decreased by the addition of povidone-iodine gel at the ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2015