Vaginal cuff dehiscence and post surgical evisceration: case report

Vaginal cuff dehiscence is the premature separation of the sutured vaginal incision, which in 70% of the cases manifests with evisceration of intestinal loops through the vaginal canal. Among its risk factors, age and alterations in the postoperative hysterectomy site stand out. The diagnosis is mad...

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Detalles Bibliográficos
Autores: Alarcón-Gutiérrez, Javier, Uriol-Valverde, Ronald, Aguilar-Ydiáquez, Claudia, Vargas-Becerra, Cristina, Casamayor-Quipuzcoa, Jhoan, Burgos-Marquina, Christian, Aranda-Cruzado, Manuel, Enrique Mendoza-Briceño, Enrique Mendoza-Briceño, Chávez Bazán, Tania
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:Perú
Institución:Sociedad Peruana de Obstetricia y Ginecología
Repositorio:Revista Peruana de Ginecología y Obstetricia
Idioma:español
inglés
OAI Identifier:oai:ginecologiayobstetricia.pe:article/2364
Acceso en línea:https://ginecologiayobstetricia.pe/index.php/RPGO/article/view/2364
Access Level:acceso abierto
Palabra clave:Dehiscencia de la herida operatoria
Histerectomía
Informes de casos
Surgical wound dehiscence
Hysterectomy
Case reports
Descripción
Sumario:Vaginal cuff dehiscence is the premature separation of the sutured vaginal incision, which in 70% of the cases manifests with evisceration of intestinal loops through the vaginal canal. Among its risk factors, age and alterations in the postoperative hysterectomy site stand out. The diagnosis is made by means of an adequate physical examination and the treatment, purely surgical, involves the return of the intestinal viscera and correction of the dehiscence. We describe the case of a 50-year-old woman who presented dehiscence of the vaginal vault with evisceration of a portion of the distal ileum, who underwent surgical and pharmacological treatment.