Vaginal cuff dehiscence: risk factors and management

Am J Obstet Gynecol. 2012 Apr;206(4):284-8. doi: 10.1016/j.ajog.2011.08.026. Epub 2011 Aug 27.

Abstract

Vaginal cuff dehiscence and evisceration are rare but serious complications of pelvic surgery, specifically hysterectomy. The data on risks of vaginal cuff dehiscence are variable, and there is no consensus on how to manage this complication. In our review, we present a summary of the risk factors, with symptoms, precipitating events, and treatment options for patients with vaginal cuff dehiscence after pelvic surgery. In addition, we provide a review of the current literature on this important surgical outcome and suggestions for future research on the incidence and prevention of vaginal cuff dehiscence.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Female
  • Humans
  • Hysterectomy / adverse effects*
  • Incidence
  • Risk Factors
  • Surgical Wound Dehiscence / diagnosis*
  • Surgical Wound Dehiscence / epidemiology
  • Surgical Wound Dehiscence / etiology
  • Surgical Wound Dehiscence / therapy*
  • Vaginal Diseases / diagnosis*
  • Vaginal Diseases / epidemiology
  • Vaginal Diseases / etiology
  • Vaginal Diseases / therapy*