Table 4.
Detailed Data for Cases of Dehiscence
Patient | Age (y) | Oncologic Indication | Route of Hysterectomy | Radical Hysterectomy | Time to Event (d) | Symptoms | Precipitating Event | Surgical Repair Performed | Comments |
---|---|---|---|---|---|---|---|---|---|
1 | 61 | LAVHa | 30 | Bleeding | Yes | ||||
2 | 46 | Yes | TAHa | Yes | 62 | Acute pain, prolapse of small bowel | Coitus | Yes | Receiving chemotherapy |
Recurrent dehiscence | 390b | Vaginal pain and mass | Valsalva | Yes | Receiving bevacizumab maintenance | ||||
3 | 56 | TLHa | 22 | Bleeding | Coitus | ||||
4 | 57 | TAH | 52 | Vaginal drainage and pain | Yes | ||||
5 | 44 | TLH | 17 | Bleeding | Yes | ||||
6 | 47 | TLH | 25 | Bleeding and discharge | Yes | ||||
7 | 40 | TLH | 240 | Vaginal pain and mass | Valsalva | Yes | |||
8 | 48 | TLH | 38 | Abdominal pain | Coitus | Yes | Revision of vaginal cuff scar due to dyspareunia between cases of dehiscence | ||
Recurrent dehiscence | 90b | Vaginal mass | Coitus | Yes | |||||
9 | 36 | Yes | RaLHa | Yes | 17 | Vaginal drainage | Yes | ||
Recurrent dehiscence | 26b | Vaginal drainage | Yes | Ureteral injury diagnosed 1 d after first repair | |||||
10 | 52 | Yes | Robotic assisted | 16 | Vaginal drainage | Yes | |||
11 | 47 | RaLH | 45 | Abdominal pain | Coitus | Yes | |||
12 | 42 | RaLH | 31 | Vaginal drainage | |||||
13 | 37 | TAH | 99 | Abdominal pain | Coitus | Yes | |||
14 | 41 | Yes | TAH | Yes | 70 | Abdominal pain | Coitus | Yes | |
15 | 30 | Yes | TAH | Yes | 87 | Abdominal pain and vaginal drainage | Coitus | Yes | |
16 | 61 | Yes | TLH | 30 | Vaginal leakage | Yes | |||
17 | 49 | TLH | 75 | Bleeding | |||||
18 | 53 | TLH | 105 | Pressure | Coitus | Yes | |||
19 | 30 | Yes | RaLH | Yes | 27 | Vaginal leakage | Valsalva | Yes | |
20 | 45 | TAH | 45 | Bleeding | Yes | Prolapsed tubes through cuff | |||
Recurrent dehiscence | 32b | Bleeding | Yes | Prolapsed tubes through cuff | |||||
21 | 64 | VHa | 7 | Bleeding | |||||
22 | 45 | Yes | TLH | 20 | Bleeding | Yes | Reoperation on PODa 1 due to hemoperitoneum | ||
23 | 34 | TLH | 21 | Bleeding | Coitus |
POD = postoperative day; RaLH = robotic-assisted laparoscopic hysterectomy; TAH = total abdominal hysterectomy; TLH = total laparoscopic hysterectomy; VH = vaginal hysterectomy.
Time from previous dehiscence.