Vaginal Cuff Dehiscence and Evisceration A Review

被引:56
作者
Nezhat, Camran [1 ,2 ]
Burns, Megan Kennedy
Wood, Michelle
Nezhat, Ceana
Nezhat, Azadeh
Nezhat, Farr
机构
[1] Camran Nezhat Inst, 900 Welch Rd,Suite 403, Palo Alto, CA 94304 USA
[2] Ctr Special Minimally Invas & Robot Surg, 900 Welch Rd,Suite 403, Palo Alto, CA 94304 USA
关键词
TOTAL LAPAROSCOPIC HYSTERECTOMY; VAULT DEHISCENCE; BARBED SUTURE; RISK-FACTORS; ABDOMINAL HYSTERECTOMY; DIFFERENT MODES; CLOSURE; SURGERY; COLPOTOMY; BRACHYTHERAPY;
D O I
10.1097/AOG.0000000000002852
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Vaginal cuff dehiscence is an infrequent complication of hysterectomy, with the potential for evisceration and additional morbidity. This review aims to describe the incidence, risk factors, preventative measures, and management. Identification of specific risk factors is problematic because many studies either lack comparison groups or are underpowered as a result of the rarity of this complication. Good surgical technique to optimize vaginal cuff healing and minimize the risk of postoperative cuff infection are important as is avoidance of early intercourse, traumatic vaginal penetration, or excess strain on the vaginal cuff during the postoperative period. Judicious use of electrocautery or other thermal energy, use of delayed absorbable sutures, and adequate tissue bites can further decrease the risk of dehiscence. Prompt recognition and management are critical to achieve best outcomes.
引用
收藏
页码:972 / 985
页数:14
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