Treatment of Vaginal Cuff Evisceration

@article{Matthews2014TreatmentOV,
  title={Treatment of Vaginal Cuff Evisceration},
  author={Catherine Ann Matthews and Kimberly S. Kenton},
  journal={Obstetrical \& Gynecological Survey},
  year={2014}
}
BACKGROUND: Laparoscopic and robotic-assisted hysterectomies are associated with higher rates of vaginal cuff dehiscence and evisceration than are open and vaginal hysterectomies. With the rising prevalence of minimally invasive hysterectomy, gynecologists should know how to manage this rare but potentially serious condition. Urgent laparotomy historically was recommended for management of vaginal cuff evisceration to allow for complete bowel evaluation. More recently, successful outcomes using… 
Intestinal Loop Evisceration after Vaginal Cuff Dehiscence: A Case Report and Review
TLDR
A 94-year-old patient who debuted with vaginal evisceration after vaginal cuff dehiscence is presented, associated with prolonged use of pessary as a treatment for vaginal cuff prolapse and enterocele, after laparotomic hysterectomy.
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TLDR
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TLDR
The case of a 97-year-old female who presented to the emergency department due to abdominal pain and a large prolapse with visible extrusion of the small bowel per vagina is discussed, suggesting that a multidisciplinary approach to prompt examination and management by gynaecology and general surgery is vital in reducing the risk of morbidity and mortality.
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TLDR
Transvaginal evisceration of the small bowel is an extremely rare condition after hysterectomy, which requires urgent surgical intervention to prevent serious bowel morbidity and mortality and should be considered a surgical emergency.
Treatment of vaginal cuff evisceration.
TLDR
If transvaginal closure proves to be curative when a complication such as evisceration is to be treated, it is questioned by the scientific community as to why it should not be regarded as a safe and effective option at the end of laparoscopic hysterectomy.
Utilization of natural orifice Transluminal endoscopic surgery (NOTES) in management of vaginal cuff dehiscence
TLDR
The initial physical examination showed some redness to the bowel serosa that was concerning for possible bowel compromise, and Natural orifice transluminal endoscopic surgery through the vaginal orifice can further optimize the approach to surgery by also examining the abdominal contents directly and safely.
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