Vaginal vault metastasis – The new enigma in port site recurrences in gynecological laparoscopic surgeries

Objective: To determine the frequency of vaginal vault recurrences in comparison with other port site recurrences following unplanned laparoscopic surgical treatment for gynecological malignancies. Design: Retrospective analysis of a prospectively maintained database of eight patients who underwent...

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Main Authors: K. Chitrathara, Asima Khan, Neetha Sreedharan, Neha Shriya, Simi Raj
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-08-01
Series:Gynecology and Minimally Invasive Therapy
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213307015001100
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author K. Chitrathara
Asima Khan
Neetha Sreedharan
Neha Shriya
Simi Raj
author_facet K. Chitrathara
Asima Khan
Neetha Sreedharan
Neha Shriya
Simi Raj
author_sort K. Chitrathara
collection DOAJ
description Objective: To determine the frequency of vaginal vault recurrences in comparison with other port site recurrences following unplanned laparoscopic surgical treatment for gynecological malignancies. Design: Retrospective analysis of a prospectively maintained database of eight patients who underwent laparoscopic procedures for different gynecological malignancies. Results: Eight patients were identified to have port site recurrences. Out of these, seven had undergone laparoscopic surgery for ovarian tumor and were reported to be malignant with the exception of one which was a borderline ovarian tumor. One case had a fibroid uterus, which later turned out to be a leiomyosarcoma. Vaginal vault recurrence was seen in four out of the eight cases, and only one patient could be saved. Whereas out of the four cases with other port recurrences, three patients are in complete remission. Conclusion: Apart from other port recurrences, vaginal vault is a potential site of recurrence. But it is more significant as it results in greater morbidity and carries a worse prognosis than other port recurrences.
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spelling doaj.art-fc421fcc238e407f88df4586462cb29b2022-12-22T00:50:44ZengWolters Kluwer Medknow PublicationsGynecology and Minimally Invasive Therapy2213-30702016-08-015311611910.1016/j.gmit.2015.06.003Vaginal vault metastasis – The new enigma in port site recurrences in gynecological laparoscopic surgeriesK. ChitratharaAsima KhanNeetha SreedharanNeha ShriyaSimi RajObjective: To determine the frequency of vaginal vault recurrences in comparison with other port site recurrences following unplanned laparoscopic surgical treatment for gynecological malignancies. Design: Retrospective analysis of a prospectively maintained database of eight patients who underwent laparoscopic procedures for different gynecological malignancies. Results: Eight patients were identified to have port site recurrences. Out of these, seven had undergone laparoscopic surgery for ovarian tumor and were reported to be malignant with the exception of one which was a borderline ovarian tumor. One case had a fibroid uterus, which later turned out to be a leiomyosarcoma. Vaginal vault recurrence was seen in four out of the eight cases, and only one patient could be saved. Whereas out of the four cases with other port recurrences, three patients are in complete remission. Conclusion: Apart from other port recurrences, vaginal vault is a potential site of recurrence. But it is more significant as it results in greater morbidity and carries a worse prognosis than other port recurrences.http://www.sciencedirect.com/science/article/pii/S2213307015001100gynecological laparoscopic surgeriesport recurrencevaginal vault recurrence
spellingShingle K. Chitrathara
Asima Khan
Neetha Sreedharan
Neha Shriya
Simi Raj
Vaginal vault metastasis – The new enigma in port site recurrences in gynecological laparoscopic surgeries
Gynecology and Minimally Invasive Therapy
gynecological laparoscopic surgeries
port recurrence
vaginal vault recurrence
title Vaginal vault metastasis – The new enigma in port site recurrences in gynecological laparoscopic surgeries
title_full Vaginal vault metastasis – The new enigma in port site recurrences in gynecological laparoscopic surgeries
title_fullStr Vaginal vault metastasis – The new enigma in port site recurrences in gynecological laparoscopic surgeries
title_full_unstemmed Vaginal vault metastasis – The new enigma in port site recurrences in gynecological laparoscopic surgeries
title_short Vaginal vault metastasis – The new enigma in port site recurrences in gynecological laparoscopic surgeries
title_sort vaginal vault metastasis the new enigma in port site recurrences in gynecological laparoscopic surgeries
topic gynecological laparoscopic surgeries
port recurrence
vaginal vault recurrence
url http://www.sciencedirect.com/science/article/pii/S2213307015001100
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AT asimakhan vaginalvaultmetastasisthenewenigmainportsiterecurrencesingynecologicallaparoscopicsurgeries
AT neethasreedharan vaginalvaultmetastasisthenewenigmainportsiterecurrencesingynecologicallaparoscopicsurgeries
AT nehashriya vaginalvaultmetastasisthenewenigmainportsiterecurrencesingynecologicallaparoscopicsurgeries
AT simiraj vaginalvaultmetastasisthenewenigmainportsiterecurrencesingynecologicallaparoscopicsurgeries