Vaginal vault evisceration after total laparoscopic hysterectomy / 대한산부인과내시경학회지
Korean Journal of Gynecologic Endoscopy and Minimally Invasive Surgery
;
: 120-126, 2012.
Article
in Korean
| WPRIM
| ID: wpr-175415
ABSTRACT
OBJECTIVE:
Fourteen cases of vaginal vault evisceration after total laparoscopic hysterectomy were presented. We review pertinent literature, discuss precipitating causes, clinical manifestations, and management that was performed.METHODS:
We reviewed medical records of 14 women with vaginal vault evisceration after total laparoscopic hysterectectom between March 2000 and October 2012 at 4 hospitals of CHA University.RESULTS:
Between March 2000 and March 2006, 1,887 women underwent total laparoscopic hysterectomy and 12 vaginal vault eviscerations (0.6%) were presented. Thereafter, only two new cases were presented. The precipitating event was coitus in nine cases (64%), sit-ups in two cases (14%), spontaneous (urine ascites), lymphatic ascites, and unknown in one case (7%) each. Prolapsed organs were small bowels, omentum, and salpinx. Common presenting symptoms were pain, bleeding, watery discharge, and protruded mass (bowels). Eleven women underwent transvaginal repair (79%) - two laparotomic (14%) and one laparoscopic (7%), and none have exhibited sequelae.CONCLUSION:
Coitus was the triggering event in most cases. For vaginal vault evisceration following total laparoscopic hysterectomy, vaginal repair should be first considered.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Omentum
/
Ascites
/
Medical Records
/
Coitus
/
Fallopian Tubes
/
Hemorrhage
/
Hysterectomy
/
Hysterectomy, Vaginal
Limits:
Female
/
Humans
Language:
Korean
Journal:
Korean Journal of Gynecologic Endoscopy and Minimally Invasive Surgery
Year:
2012
Type:
Article
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