Vaginal Treatment of Vaginal Cuff Dehiscence with Visceral Loop Prolapse: A New Challenge in Reparative Vaginal Surgery?
Joint Authors
Mastrolia, Salvatore Andrea
Di Naro, Edoardo
Schonauer, Luca Maria
Loverro, Maria Teresa
Indellicati, Beatrice
Barnaba, Mario
Loverro, Giuseppe
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-11-24
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Vaginal cuff dehiscence is a rare, but potentially morbid, complication of total hysterectomy and refers to separation of the vaginal cuff closure.
The term vaginal cuff dehiscence is frequently interchanged with the terms of cuff separation or cuff rupture.
All denote the separation of a vaginal incision that was previously closed at time of total hysterectomy.
After dehiscence of the vaginal cuff, abdominal or pelvic contents may prolapse through the vaginal opening.
Bowel evisceration, outside the vulvar introitus, can lead to serious sequelae, including peritonitis, bowel injury and necrosis, or sepsis.
Therefore, although prompt surgical and medical intervention is required to replace prolapsed structures, the main problem remains the reconstruction of vaginal vault.
In case of recent hysterectomy, vaginal reparation only requires the approximation of vaginal walls, including their fascia, while if dehiscence occurs after a long time from hysterectomy, the adequate suspension of the vaginal vault has to be taken into consideration.
In this report we describe the case of a postmenopausal patient, undergoing surgical emergency because of the evisceration of an intestinal loop through a dehiscence of vaginal vault, after numerous reconstructive vaginal surgeries for vaginal prolapse.
This paper analyzes clinical circumstances, risk factors, comorbidity, and clinical and surgical management of this complication.
American Psychological Association (APA)
Mastrolia, Salvatore Andrea& Di Naro, Edoardo& Schonauer, Luca Maria& Loverro, Maria Teresa& Indellicati, Beatrice& Barnaba, Mario…[et al.]. 2014. Vaginal Treatment of Vaginal Cuff Dehiscence with Visceral Loop Prolapse: A New Challenge in Reparative Vaginal Surgery?. Case Reports in Obstetrics and Gynecology،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1017324
Modern Language Association (MLA)
Mastrolia, Salvatore Andrea…[et al.]. Vaginal Treatment of Vaginal Cuff Dehiscence with Visceral Loop Prolapse: A New Challenge in Reparative Vaginal Surgery?. Case Reports in Obstetrics and Gynecology No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-1017324
American Medical Association (AMA)
Mastrolia, Salvatore Andrea& Di Naro, Edoardo& Schonauer, Luca Maria& Loverro, Maria Teresa& Indellicati, Beatrice& Barnaba, Mario…[et al.]. Vaginal Treatment of Vaginal Cuff Dehiscence with Visceral Loop Prolapse: A New Challenge in Reparative Vaginal Surgery?. Case Reports in Obstetrics and Gynecology. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1017324
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1017324