Korean J Obstet Gynecol.  2007 Jan;50(1):222-226.

Three cases of vaginal evisceration after laparoscopic hysterectomy

Affiliations
  • 1Department of Obstetrics & Gynecology, College of Medicine, Chungnam National University, Daejon, Korea. oldfox@cnuh.co.kr

Abstract

Vaginal evisceration is a rare but life threatening complication of gynecologic surgery. Most of them occur after abdominal or vaginal hysterectomy. The incidence after laparoscopic hysterectomy is unknown. The incidence of evisceration in the patients undergoing laparoscopic hysterectomy in our hospital was 0.1 %. The rapid recovery after laparoscopic hysterectomy, compared with abdominal hysterectomy, is widely acknowledged. Swift return to everyday activities and early resumption of intercourse could predispose to rupture of vaginal vault. Upon discharge, patients undergoing laparoscopic hysterectomy should be given careful instructions to avoid coitus until complete healing of vaginal vault. We described three cases of vaginal evisceration after laparoscopic hysterectomy including a review of the literature.

Keyword

Vaginal evisceration; Laparoscopic hysterectomy; Vaginal vault rupture
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