Three cases of vaginal evisceration after laparoscopic hysterectomy.

Hyun, Suk Hwan; Yang, Jung Bo; Park, Sang Do; Lee, Jong Seon; Lee, Ki Hwan

Case Report

Korean Journal of Obstetrics & Gynecology 2007;50(1):222-226.
Published online January 1, 2007.

Three cases of vaginal evisceration after laparoscopic hysterectomy.

Suk Hwan Hyun, Jung Bo Yang, Sang Do Park, Jong Seon Lee, Ki Hwan Lee

Department 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.

Key Words: Vaginal evisceration, Laparoscopic hysterectomy, Vaginal vault rupture