性交诱发阴道残端裂开的急诊腹腔镜修复术：一例报告
Emergency laparoscopic repair of coitus-induced vaginal cuff dehiscence: a case report.
作者信息
Agrawal Ajay, Huang Kuan-Gen, Mendoza Marie Christine Valerie
机构信息
Department of Obstetrics and Gynecology, BP Koirala Institute of Health Sciences, Dharan-17, Sunsari, State No-1, Sunsari, Nepal.
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital at Linkou, Kweishan, Taoyuan, Taiwan.
出版信息
J Med Case Rep. 2020 Mar 9;14(1):40. doi: 10.1186/s13256-020-02362-4.
BACKGROUND
Vaginal cuff dehiscence is a rare but potentially grave complication after total hysterectomy. Abdominal or pelvic contents are at risk of evisceration through the vaginal opening. It is associated with significant risk for patient morbidity, such as peritonitis, bowel injury, and sepsis.
CASE PRESENTATION
We report a case of vaginal cuff dehiscence in a 45-year-old multiparous Taiwanese woman who had undergone abdominal total hysterectomy and presented with vaginal cuff dehiscence precipitated by sexual intercourse. Immediate laparoscopic repair was done. Few authors have reported the utilization of the laparoscopic approach. It allows thorough inspection, visualization, and irrigation of the abdominal cavity. It is also associated with fewer intraoperative and postoperative complications.
CONCLUSION
Laparoscopic repair is a safe treatment option to manage vaginal cuff dehiscence after total hysterectomy.
背景
阴道残端裂开是全子宫切除术后一种罕见但可能严重的并发症。腹部或盆腔脏器有通过阴道开口脱出的风险。它与患者发病的重大风险相关，如腹膜炎、肠损伤和败血症。
病例报告
我们报告一例45岁经产台湾女性阴道残端裂开的病例，该患者接受了腹式全子宫切除术，因性交诱发阴道残端裂开。立即进行了腹腔镜修复。很少有作者报道使用腹腔镜方法。它可以对腹腔进行全面检查、可视化和冲洗。它还与较少的术中及术后并发症相关。
结论
腹腔镜修复是治疗全子宫切除术后阴道残端裂开的一种安全的治疗选择。
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