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Emergency laparoscopic repair of coitus-induced vaginal cuff dehiscence: a case report.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101293382 Publication Model: Electronic Cited Medium: Internet ISSN: 1752-1947 (Electronic) Linking ISSN: 17521947 NLM ISO Abbreviation: J Med Case Rep Subsets: MEDLINE
    • Publication Information:
      Original Publication: [London] : BioMed Central, [2007-
    • Subject Terms:
      Coitus*; Hysterectomy/*adverse effects ; Postoperative Complications/*surgery ; Surgical Wound Dehiscence/*surgery ; Vagina/*surgery; Taiwan/epidemiology ; Vagina/injuries ; Emergency Service, Hospital ; Female ; Humans ; Laparoscopy ; Middle Aged
    • Abstract:
      Background: Vaginal cuff dehiscence is a rare but potentially grave complication after total hysterectomy. Abdominal or pelvic contents are at risk of evisceration through the vaginal opening. It is associated with significant risk for patient morbidity, such as peritonitis, bowel injury, and sepsis.
      Case Presentation: We report a case of vaginal cuff dehiscence in a 45-year-old multiparous Taiwanese woman who had undergone abdominal total hysterectomy and presented with vaginal cuff dehiscence precipitated by sexual intercourse. Immediate laparoscopic repair was done. Few authors have reported the utilization of the laparoscopic approach. It allows thorough inspection, visualization, and irrigation of the abdominal cavity. It is also associated with fewer intraoperative and postoperative complications.
      Conclusion: Laparoscopic repair is a safe treatment option to manage vaginal cuff dehiscence after total hysterectomy.
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    • Contributed Indexing:
      Keywords: Complication; Minimal invasive surgery; Vaginal cuff dehiscence
    • Publication Date:
      Date Created: 20200314 Date Completed: 20201130 Latest Revision: 20201130
    • Publication Date:
      20260130
    • Accession Number:
      PMC7069037
    • Accession Number:
      10.1186/s13256-020-02362-4
    • Accession Number:
      32164756