Table 3.

Clinical features and management of VCD(E).

Case No.	TH-to-VCD(E) interval(d)	Trigger events	Onset-to-consultation interval	Symptoms	Anemia	Evisceration	Reposition prolapsed organs	Surigical interventions	Type of suture	Suturing method	Additional procedures	Antibiotics	Follow-up(d)	Recurrence
1	84	Postcoitus	6 h	Lower abdominal pain + found the prolapsed bowel	No	Bowel	UA	LCC	VCP358H	Figure-of-eight	/	Yes	791	No
2	102	Postcoitus	11 d	Lower abdominal pain	No	Bowel	UA	VCC	VCP358H	Simple running	/	Yes	237	No
3a	324	Postcoitus	1.5 h	Irregular vaginal bleeding + Lower abdominal pain	No	Bowel	WoA	VCC	VCP358H	Interlock	/	Yes	0	Lost of follow-up
4	80	Postcoitus	10.5 h	Lower abdominal pain + sensation of bulge	No	Bowel	UA	VCC	VCP603H	Interlock	/	Yes	884	No
5a	63	Postcoitus	1 h	Irregular vaginal bleeding + Lower abdominal pain + nausea and vomiting	No	Bowel	WoA	VCC	VCP358H	Interlock	Take a swab for culture(−)	Yes	1,219	No
6a	823	Postcoitus	5.5 h	Irregular vaginal bleeding + Lower abdominal pain	No	Bowel	UA	VCC	VCP518H	Figure-of-eight + interrupted	MBT of the bladder to consume bladder integrity preoperatively	Yes	1,107	No
7	135	Strenuous activity	2 d	Irregular vaginal bleeding + Lower abdominal pain	No	No	/	VCC	VCP358H	Interrupted	/	Yes	464	No
8	79	Postcoitus	1 d	Irregular vaginal bleeding	No	Omentum	UA	VCC	VCP518H	Interrupted	Take a swab for culture(-)+place a vaginal drainage-tube	Yes	2,431	No
9	144	Postcoitus	0.5 h	Irregular vaginal bleeding + Lower abdominal pain	No	Bowel	WoA	VCC	VCP518H	Interlock	/	Yes	2,441	No
10	50	During radiotherapy	1 d	Asymptomatic	No	No	/	VCC + exploratory laporoscopy	VCP358H	Interlock	MBT of the bladder to consume bladder integrity intraoperatively	Yes	814	No
11a	105	Postcoitus	2 h	Lower abdominal pain + found the prolapsed bowel	No	Bowel	WoA	VCC	1B-401	Simple running	Creatinine level of drainage	Yes	0	Lost of follow-up
12	8	Strenuous activity + straining on stool	12 h	Irregular vaginal bleeding + dizziness and cold sweat	Mild	No	/	VCC	1-0 Dexon	Simple running	Blood transfuison(10U+ 1,200 mL)	Yes	4,763	No
13	86	Postcoitus	6 h	Irregular vaginal bleeding + Lower abdominal pain + vaginal discharge	No	Bowel	UA	VCC	VCP358H	Interlock	/	Yes	3,480	No
14	770	Postcoitus	8 d	Lower abdominal pain + found the prolapsed bowels + vaginal discharge	No	Omentum	UA	VCC + laparocopy(partial omentectomy + BO)	VCP603H	Interlock	Pathological examination	Yes	644	No

VCD(E), vaginal cuff dehiscence (and evisceration); TH, total hysterectomy; UA, Under anesthesia; WoA, without anesthesia; LCC, Laparoscopic cuff closure; VCC, transvaginal cuff closure; BO, bilateral oophorectomy; MBT, methylene blue test.

^aPatients who underwent TH in other hospitals.