Division of Gynecologic Oncology, Women and Infants Hospital, Alpert Medical School of Brown University, Providence, RI, USA.
Am J Obstet Gynecol. 2012 Apr;206(4):284-8. doi: 10.1016/j.ajog.2011.08.026. Epub 2011 Aug 27.
Vaginal cuff dehiscence and evisceration are rare but serious complications of pelvic surgery, specifically hysterectomy. The data on risks of vaginal cuff dehiscence are variable, and there is no consensus on how to manage this complication. In our review, we present a summary of the risk factors, with symptoms, precipitating events, and treatment options for patients with vaginal cuff dehiscence after pelvic surgery. In addition, we provide a review of the current literature on this important surgical outcome and suggestions for future research on the incidence and prevention of vaginal cuff dehiscence.
阴道残端裂开和脱出是盆腔手术(特别是子宫切除术)罕见但严重的并发症。阴道残端裂开的风险数据存在差异,对于如何处理这种并发症也没有共识。在我们的综述中,我们总结了盆腔手术后阴道残端裂开的危险因素、症状、诱发事件和治疗选择。此外,我们还对当前关于这一重要手术结果的文献进行了综述,并就阴道残端裂开的发生率和预防提出了未来研究的建议。