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腹式子宫切除术后阴道脏器脱垂:一例报告

Vaginal Evisceration After Abdominal Hysterectomy: A Case Report.

作者信息

Tsakona Sofia, Iavazzo Christos, Fotiou Alexandros, Kokkali Kalliopi, Vorgias George

机构信息

Gynecological Oncology, Metaxa Memorial Cancer Hospital, Piraeus, GRC.

出版信息

Cureus. 2022 Nov 7;14(11):e31191. doi: 10.7759/cureus.31191. eCollection 2022 Nov.

DOI:10.7759/cureus.31191
PMID:36505166
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9728080/
Abstract

Vaginal cuff dehiscence (VCD) is an extremely rare complication after a hysterectomy, with possible life-threatening consequences. Multiple cases of pelvic organ evisceration through the vaginal cuff have been reported, most frequently precipitated by sexual intercourse. Surgeons should be suspicious of clinical signs of VCD postoperatively, as any intervention should be prompt. Patients at high-risk patients of developing vaginal cuff dehiscence should be advised to refrain from straining exercises for longer periods of time. Herein, we present the case of a 46-year-old with this complication.

摘要

阴道残端裂开(VCD)是子宫切除术后极为罕见的并发症,可能会导致危及生命的后果。已有多例经阴道残端发生盆腔脏器脱垂的病例报道,其中大多数是由性交引发的。术后外科医生应警惕VCD的临床症状,因为任何干预都应及时进行。对于有发生阴道残端裂开高风险的患者,建议其在较长一段时间内避免进行用力的运动。在此,我们报告一例46岁患有该并发症的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1603/9728080/b6b411783ad4/cureus-0014-00000031191-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1603/9728080/cd66b48549ae/cureus-0014-00000031191-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1603/9728080/e549b6f91917/cureus-0014-00000031191-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1603/9728080/b6b411783ad4/cureus-0014-00000031191-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1603/9728080/cd66b48549ae/cureus-0014-00000031191-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1603/9728080/e549b6f91917/cureus-0014-00000031191-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1603/9728080/b6b411783ad4/cureus-0014-00000031191-i03.jpg

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J Minim Invasive Gynecol. 2020 Jan;27(1):122-128. doi: 10.1016/j.jmig.2019.03.002. Epub 2019 Mar 7.
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Vaginal cuff dehiscence and evisceration: a review of the literature.阴道残端裂开与脏器脱出:文献综述
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Electrosurgical Settings and Vaginal Cuff Complications.电外科设置与阴道断端并发症
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Vaginal cuff dehiscence: risk factors and associated morbidities.阴道残端裂开:危险因素及相关并发症
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Treatment of vaginal cuff evisceration.阴道残端膨出的治疗。
Obstet Gynecol. 2014 Oct;124(4):705-708. doi: 10.1097/AOG.0000000000000463.
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Evaluation of risk factors of vaginal cuff dehiscence after hysterectomy.子宫切除术后阴道残端裂开危险因素的评估。
Obstet Gynecol Sci. 2014 Mar;57(2):136-43. doi: 10.5468/ogs.2014.57.2.136. Epub 2014 Mar 15.
7
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