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KMID : 1201620100030010026
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Journal of Women s Medicine
2010 Volume.3 No. 1 p.26 ~ p.28
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A case of repetitive vaginal evisceration following total Laparoscopic hysterectomy: A complication of TLH
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Cho Hye-Yon
Park Sung-Ho
Kim Hong-Bae
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Abstract
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Vaginal evisceration with abdominal viscera following hysterectomy is very uncommon complication. However, total laparoscopic hysterectomy (TLH) seems to be higher risk than other hysterectomy routes. Minimizing the use of electrothermal instruments and meticulous, full-thickness closure during vaginal vault procedure in TLH will decrease the risk. But if a vaginal vault prolapse occurs unfortunately, a delayed absorbable polydioxanone suture like PDS will be benefit in closing vaginal vault. In most of these cases, healing of vaginal vault is good by one time of repair and recurrence is rare. We experience a case of 48-year-old woman who presented repetitive vaginal evisceration after TLH. Therefore, we report this case with relevant literatures. Surgeons should consider advising women who underwent TLH regarding the slow and steady resumption of the first sexual intercourse postoperatively, particularly patients having highly sexual activity and high risk of wound-healing.
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KEYWORD
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Vaginal evisceration, Total Laparoscopic hysterectomy
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