NYMC Faculty Publications
Two Cases of Post-Coital Vaginal Cuff Dehiscence with Small Bowel Evisceration After Robotic-Assisted Laparoscopic Hysterectomy
Author Type(s)
Faculty
DOI
10.1016/j.ijscr.2013.04.001
Journal Title
International Journal of Surgery Case Reports
First Page
603
Last Page
605
Document Type
Article
Publication Date
1-1-2013
Department
Surgery
Disciplines
Medicine and Health Sciences
Abstract
INTRODUCTION: Vaginal cuff dehiscence following robotic surgery is uncommon. Published reports of vaginal cuff dehiscence following robotic surgery are increasing, but the true incidence is unknown.
PRESENTATION OF CASE: Case 1. A 45 year old female had sexual intercourse and presented with a vaginal cuff dehiscence complicated by small bowel evisceration 4 months after RA-TLH. Case 2. A 44 year old female had sexual intercourse and presented with a vaginal cuff dehiscence with small bowel evisceration 6 weeks after RA-TLH.
DISCUSSION: We discuss the rate of vaginal cuff dehiscence by mode of hysterectomy, surgical and non-surgical risk factors that may contribute to vaginal cuff dehiscence, and proposed preventative methods at the time of RA-TLH to reduce this complication.
CONCLUSION: Vaginal cuff dehiscence with associated evisceration of intraabdominal contents is a potentially severe complication of hysterectomy. We recommend counseling patients who undergo RA-TLH to abstain from vaginal intercourse for a minimum of 8-12 weeks.
Recommended Citation
Nguyen, M. T., Kapoor, M., Pradhan, T. S., Pua, T. L., & Tedjarati, S. S. (2013). Two Cases of Post-Coital Vaginal Cuff Dehiscence with Small Bowel Evisceration After Robotic-Assisted Laparoscopic Hysterectomy. International Journal of Surgery Case Reports, 4 (7), 603-605. https://doi.org/10.1016/j.ijscr.2013.04.001
