Re: JSLS. 2013;17:414–417. Effects of Electrosurgery and Vaginal Closure Technique on Postoperative Vaginal Cuff Dehiscence
نویسندگان
چکیده
The study by Fanning et al1 adds further evidence to the results of a recent meta-analysis published by our group and including 13 000 patients who underwent endoscopic hysterectomy.2 Our data clearly showed that endoscopic closure of the vaginal cuff (whether performed by laparoscopy or by robotics) is significantly associated with postoperative vaginal cuff complications (including dehiscence) compared with transvaginal suturing. These findings were confirmed and reinforced in a subsequent publication on 12 000 hysterectomies performed in 6 Italian centers.3
منابع مشابه
Effects of Electrosurgery and Vaginal Closure Technique on Postoperative Vaginal Cuff Dehiscence
BACKGROUND AND OBJECTIVES The aim of our study is to evaluate the role of electrosurgery and vaginal closure technique in the development of postoperative vaginal cuff dehiscence. METHODS From prospective surgical databases, we identified 463 patients who underwent total laparoscopic hysterectomy (TLH) for benign disease and 147 patients who underwent laparoscopic-assisted vaginal hysterectom...
متن کاملVaginal Cuff Dehiscence: Risk Factors and Associated Morbidities
BACKGROUND AND OBJECTIVES To evaluate whether the route and surgical technique by which hysterectomy is performed influence the incidence of vaginal cuff dehiscence. METHODS We performed a retrospective analysis of total hysterectomy cases performed at Brigham and Woman's Hospital or Faulkner Hospital during 2009 through 2011. RESULTS During the study period, 2382 total hysterectomies were ...
متن کاملBarbed Suture for Vaginal Cuff Closure in Laparoscopic Hysterectomy
BACKGROUND AND OBJECTIVES Our aim was to evaluate whether the use of barbed suture for vaginal cuff closure is associated with a decrease in postoperative vaginal bleeding compared with cuff closure with polyglactin 910 in patients who have undergone laparoscopic hysterectomy. METHODS We performed a cohort study of patients who underwent laparoscopic hysterectomy between January 2008 and July...
متن کاملLaparoscopic Repair of Vaginal Evisceration after Abdominal Hysterectomy for Uterine Corpus Cancer: A Case Report and Literature Review.
Vaginal cuff dehiscence is a rare but serious complication that can develop after hysterectomy. Emergent surgical intervention is required for vaginal cuff dehiscence due to the potential subsequent vaginal evisceration, which may lead to necrosis of the small bowel. A 62-year-old nulliparous woman with a 30-year history of smoking, diabetes mellitus, and rheumatoid arthritis (treated with oral...
متن کاملVaginal cuff closure after minimally invasive hysterectomy: our experience and systematic review of the literature.
OBJECTIVE To determine the incidence of vaginal cuff dehiscence after minimally invasive hysterectomy, we reported our series of total laparoscopic hysterectomies with transvaginal colporraphy. STUDY DESIGN We then conducted a systematic search of PubMed to retrieve published series of laparoscopic and robotic hysterectomies, in which different techniques for vaginal cuff closure were used. ...
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عنوان ژورنال:
دوره 19 شماره
صفحات -
تاریخ انتشار 2015