Emergency laparoscopic repair of coitus-induced vaginal cuff dehiscence: a case report

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, an...

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Main Authors: Ajay Agrawal, Kuan-Gen Huang, Marie Christine Valerie Mendoza
Format: Article
Language:English
Published: BMC 2020-03-01
Series:Journal of Medical Case Reports
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13256-020-02362-4
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author Ajay Agrawal
Kuan-Gen Huang
Marie Christine Valerie Mendoza
author_facet Ajay Agrawal
Kuan-Gen Huang
Marie Christine Valerie Mendoza
author_sort Ajay Agrawal
collection DOAJ
description 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.
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spelling doaj.art-172b8c21cfed4082a26c7933cfdc21122022-12-22T00:03:35ZengBMCJournal of Medical Case Reports1752-19472020-03-011411410.1186/s13256-020-02362-4Emergency laparoscopic repair of coitus-induced vaginal cuff dehiscence: a case reportAjay Agrawal0Kuan-Gen Huang1Marie Christine Valerie Mendoza2Department of Obstetrics and Gynecology, BP Koirala Institute of Health SciencesDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital at LinkouDepartment of Obstetrics and Gynecology, University of the Philippines - Philippine General HospitalAbstract 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.http://link.springer.com/article/10.1186/s13256-020-02362-4ComplicationMinimal invasive surgeryVaginal cuff dehiscence
spellingShingle Ajay Agrawal
Kuan-Gen Huang
Marie Christine Valerie Mendoza
Emergency laparoscopic repair of coitus-induced vaginal cuff dehiscence: a case report
Journal of Medical Case Reports
Complication
Minimal invasive surgery
Vaginal cuff dehiscence
title Emergency laparoscopic repair of coitus-induced vaginal cuff dehiscence: a case report
title_full Emergency laparoscopic repair of coitus-induced vaginal cuff dehiscence: a case report
title_fullStr Emergency laparoscopic repair of coitus-induced vaginal cuff dehiscence: a case report
title_full_unstemmed Emergency laparoscopic repair of coitus-induced vaginal cuff dehiscence: a case report
title_short Emergency laparoscopic repair of coitus-induced vaginal cuff dehiscence: a case report
title_sort emergency laparoscopic repair of coitus induced vaginal cuff dehiscence a case report
topic Complication
Minimal invasive surgery
Vaginal cuff dehiscence
url http://link.springer.com/article/10.1186/s13256-020-02362-4
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