Vaginal vault dehiscence after laparoscopic hysterectomy over a nine-year period at Sydney West Advanced Pelvic Surgery Unit - our experiences and current understanding of vaginal vault dehiscence

The Australian & New Zealand Journal of Obstetrics & Gynaecology
Warren S W ChanHarry Merkur

Abstract

A retrospective analysis of all women undergoing hysterectomy at Sydney West Advanced Pelvic Surgery Unit (SWAPS) was performed in the nine-year period from 2001 to 2009. To evaluate the incidence, timing and presenting symptoms of vaginal vault dehiscence after hysterectomy, especially via the laparoscopic approach to gain further understanding of patient risk factors and surgical factors that may predispose to this complication. Women who presented with vaginal vault dehiscence were identified and possible pre-operative, intra-operative and post-operative risk factors were assessed. A comprehensive literature search was performed to assess the current understanding and incidence of vault dehiscence after laparoscopic hysterectomy. A total of 1224 hysterectomies were performed between 2001 and 2009. 989 (80.80%) were performed laparoscopically of which five women (0.42%) presented with vault dehiscence post-operatively. All had undergone total laparoscopic hysterectomy resulting in a vault dehiscence rate of 1.59% after total laparoscopic hysterectomy specifically. Baseline characteristics included a mean age of 42.8 years (37-51 years), mean BMI of 26.8 kg/m(2) (23.8-32.3 kg/m(2)) and a mean parity of two deliveries (1-3 deli...Continue Reading

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Citations

Aug 31, 2012·Current Oncology Reports·René Verheijen, Ronald Zweemer
Sep 12, 2018·Obstetrics and Gynecology·Camran NezhatFarr Nezhat
Sep 11, 2018·Acta Obstetricia Et Gynecologica Scandinavica·Seija Ala-NissiläVarpu Jokimaa
Jun 17, 2016·Current Opinion in Obstetrics & Gynecology·Hye-Chun HurKimberly A Kho

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