Prevention and management of vaginal cuff dehiscence: an updated review

Curr Opin Obstet Gynecol. 2022 Aug 1;34(4):250-255. doi: 10.1097/GCO.0000000000000791. Epub 2022 Jun 27.

Abstract

Purpose of review: Minimally invasive hysterectomy has gained popularity because of its many benefits. However, laparoscopic and robotic assisted hysterectomy have been associated with increased risk of vaginal cuff dehiscence. This review is meant to address risk management and prevention of vaginal cuff dehiscence in patients undergoing minimally invasive hysterectomy.

Recent findings: Recent findings in the literature focus on addressing modifiable risk factors in patients and on using good surgical technique to help minimize the risk of vaginal cuff dehiscence.

Summary: The focus of this review is to help surgeons identify patient risk factors and address them preoperatively and to review surgical techniques that can minimize the risk of vaginal cuff dehiscence.

Publication types

  • Review

MeSH terms

  • Female
  • Humans
  • Hysterectomy / adverse effects
  • Hysterectomy / methods
  • Laparoscopy* / adverse effects
  • Laparoscopy* / methods
  • Robotic Surgical Procedures* / adverse effects
  • Surgical Wound Dehiscence / etiology
  • Surgical Wound Dehiscence / prevention & control
  • Vagina / surgery