MINIMALLY INVASIVE GYNECOLOGIC PROCEDURES: Edited by Matthew T. Siedhoff
Vaginal cuff dehiscence and evisceration: a review of the literature
- Hye-Chun Hur∗
- Michelle Lightfoot∗
- Miranda Gomez McMillinb
- Kimberly A. Khob
Current Opinion in Obstetrics & Gynecology 28(4):p 297-303, August 2016. | DOI: 10.1097/GCO.0000000000000294
Purpose of review
Vaginal cuff dehiscence and evisceration are rare but potentially serious complications of hysterectomy. In this article, we review the incidence, risk factors, management, and preventive measures for dehiscence based on available literature.
Recent findings
Identifying risk factors for dehiscence is challenging because studies lack comparison groups and most studies are largely underpowered to draw concrete conclusions.
Summary
High-quality data on cuff dehiscence after hysterectomy are limited. Potentially modifiable risks that optimize vaginal wound healing, minimize vaginal cuff strain, and minimize cuff infection should be optimized.
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