• Users Online: 39
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
 
CASE REPORT
Ahead of Print

Vaginal cuff dehiscence with small-bowel evisceration following total laparoscopic hysterectomy – An unusual case


 Department of Obstetrics and Gynaecology, INHS Kalyani, Visakhapatnam, Andhra Pradesh, India

Correspondence Address:
Vaidehi D Thakur,
Department of Obstetrics and Gynaecology, INHS Kalyani, Gandhigram, Visakhapatnam - 530 005, Andhra Pradesh
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmms.jmms_3_20

Small bowel evisceration from dehiscent vaginal cuff is unusual subsequent to laparoscopic hysterectomy. This complication is seldom cited in studies and reviews. We present an uncommon case of evisceration of small bowel from vaginal cuff dehiscence (VCD). The event occurred approximately 2 hours subsequent to the first act of coitus performed 3 months after the laparoscopic hysterectomy. Patient was brought to the emergency department for primary treatment. Urgent surgical intervention was planned. Small intestine was reposed after saline wash. Repairing of the vault was done with continuous suture by polyglactin-910 braided synthetic absorbable suture no.1. Patient was sent to home after 5 days of surgery. The strength of vaginal vault in laparoscopic hysterectomy depends on technique of vaginal cuff closure and types of suture materials used during surgery. Postoperative counseling of patients for recommencing physical activity and sexual intercourse is also of utmost significance.


Print this article
Search
 Back
 
  Search Pubmed for
 
    -  Thakur VD
    -  Paprikar MM
    -  Singh S M
 Citation Manager
 Article Access Statistics
 Reader Comments
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed40    
    PDF Downloaded3    

Recommend this journal