Table 1. Description of case series and cohort studies on vaginal cuff dehiscence.
| Study Author and year Brief description |
Incidence | Mean age in years | Type of pelvic surgery | Mean interval to dehiscence | Proportion with evisceration | Method of closure |
|---|---|---|---|---|---|---|
|
Croak 2004 Description of all vaginal eviscerations at a single institution between 1970-2001 |
0.032% (denominator not given) | 63 | 42% TAH 33% TVH 25% other/trauma |
2.25 years (5 months-4 years) |
50% | 8% abdominal 58% vaginal 25% vaginal/abdominal combination 8% vaginal/laparoscopic combination |
|
Iaco 2006 Description of all vaginal dehiscences after hysterectomy at a single institution between 1995-2001 |
0.27% (10/3593) |
57.5 | 60% TAH 30% TVH 10% TLH |
1.6 years (2 months to 5.4 years) |
70% | 100% abdominal |
|
Hur 2007 Description of all vaginal dehiscences at a single institution between 2000-2006 |
0.14% (10/7286) |
39.9 | 10% TAH 10% TVH 80% TLH |
2.75 months (1 months to 1 year 3 months) | 60% | 90% vaginal 10% vaginal/abdominal combination (to allow concomitant pelvic organ prolapse procedures) |
|
Agdi 2009 Series of 16 cases of vaginal cuff dehiscence reported via AAGL list-server and literature review |
NA | 44 | 6% TAH 94% TLH |
3 weeks (3-6.5 weeks) | NA | NA |
| Kho 2009 Description of all vaginal dehiscences after robotic hysterectomy at a single institution between 2004-2008 | 4.1% (21/510) | 45 | Robotic hysterectomy, vaginectomy, or trachelectomy | 1.5 months (2 weeks to 4.5 months) | 29% | 90% vaginal 5% vaginal/laparoscopic combination 5% secondary intention |
|
Nick 2011 Retrospective cohort study of TLH and robotic hysterectomy between 2000-2009 |
1.7% (7/417) |
30 | All TLH and robotic | 4.3 months (1.9 months to 5.8 months) | 43% | 43% vaginal 57% secondary intention |
|
Multiple authors Summary of 32 case reports and series (26 with one patient, 4 with 2 patients, 2 with 3 patients) |
NA | 58.8 | 35% TAH 45% TVH/LAVH 15% TLH/robotic 2% other |
3.93 years (3 days to 30 years) | ***% | 52.5% abdominal 32.5% vaginal 5% laparoscopic 10% vaginal/laparoscopic combination |
NA – Not available; TAH – Total abdominal hysterectomy; TVH - total vaginal hysterectomy; TLH – total laparoscopic hysterectomy; LAVH – laparoscopically-assisted vaginal hysterectomy