腹腔镜下II型根治性子宫切除术后性交后阴道残端裂开伴小肠脱出：一例报告
Post-coital vaginal cuff dehiscence with small bowel evisceration after laparoscopic type II radical hysterectomy: A case report.
作者信息
Kahramanoglu Ilker, Sal Veysel, Bese Tugan
机构信息
MD, Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Cerrahpasa Medical Faculty, Istanbul University, Turkey.
MD, Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Cerrahpasa Medical Faculty, Istanbul University, Turkey.
出版信息
Int J Surg Case Rep. 2016;26:81-3. doi: 10.1016/j.ijscr.2016.07.024. Epub 2016 Jul 25.
INTRODUCTION
Vaginal cuff dehiscence after hysterectomy can be life-threating condition. Vaginal evisceration of bowel may lead to intestinal ischemia and intraabdominal infection. Immediate recognition and surgical repair are crucial for succesful management.
CASE REPORT
Herein, we report a case of vaginal cuff dehiscence with small bowel evisceration in a 32-year old woman who underwent laparoscopic type II hysterectomy for stage IA2 cervical cancer.
CONCLUSION
Patients who have undergone hysterectomy should be advised about when to restart coitus. Vaginal repair of vaginal cuff dehiscence is recommended if intestinal ischemia is excluded.
引言
子宫切除术后阴道残端裂开可能是危及生命的情况。肠道经阴道脱出可导致肠缺血和腹腔内感染。及时识别和手术修复对于成功治疗至关重要。
病例报告
在此，我们报告一例32岁女性患者，她因IA2期宫颈癌接受了腹腔镜II型子宫切除术，术后出现阴道残端裂开并伴有小肠脱出。
结论
应告知接受子宫切除术的患者何时重新开始性交。如果排除肠缺血，建议对阴道残端裂开进行阴道修复。
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