Laparoscopic management of post coital vaginal cuff dehiscence after total laparoscopic hysterectomy

Authors

  • Shanmugapriya Mahendran Department of Advanced Gynaecology, Endoscopy and ART, Inspiria Laparoscopy and IVF Research Centre, Rahata, Maharastra, India http://orcid.org/0000-0003-1026-4600
  • Niteen Ghorpade Department of Advanced Gynaecology, Endoscopy and ART, Inspiria Laparoscopy and IVF Research Centre, Rahata, Maharastra, India
  • Richa Pal Department of Advanced Gynaecology, Endoscopy and ART, Inspiria Laparoscopy and IVF Research Centre, Rahata, Maharastra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20222507

Keywords:

Vaginal cuff dehiscence, Total laparoscopic hysterectomy, Pelvic pain, Laparoscopic approach and repair

Abstract

Vaginal cuff dehiscence is a rare postoperative complication following total laparoscopic hysterectomy. Timely recognition and surgical repair is essential for successful management. A 39 year old female, para2 live2, presented with symptoms of watery vaginal discharge and vague pelvic pain associated with sexual activity, three months after total laparoscopic hysterectomy. Per speculum examination revealed a 3 cm rent in vaginal cuff without any evidence of bowel evisceration. Diagnostic laparoscopic assessment along with vaginal cuff repair done. The incidence of vaginal cuff dehiscence after total laparoscopic hysterectomy may be attributed to over use of electrocautery, prolonged inflammatory response, and suturing techniques. Abdominal, vaginal and laparoscopic approaches are the routes for repairing vaginal cuff dehiscence. However, it depends on clinical presentation and surgeon’s expertise. Careful history and examination guides the clinician to arrive at correct diagnosis and knowledge of appropriate medical and surgical interventions are of paramount importance for treatment of vaginal cuff dehiscence.

Author Biography

Shanmugapriya Mahendran, Department of Advanced Gynaecology, Endoscopy and ART, Inspiria Laparoscopy and IVF Research Centre, Rahata, Maharastra, India

Obstetrics and gynaecology, Gynaec endoscopy, Reproductive medicine, 

consultant 

References

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Published

2022-09-27

Issue

Section

Case Reports