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Table 3 Characteristics of all patients with a vaginal cuff dehiscence

From: Vaginal cuff dehiscence in laparoscopic hysterectomy: influence of various suturing methods of the vaginal vault

Case

Age (years)

BMI (kg/m2)

ASA

Length of surgery (min)

Blood loss (mL)

Uterus weight (g)

Indication for hysterectomy

Postmenopausal

Prophylactic antibiotics at hysterectomy

Suture type

Energy used for colpotomy

Trigger event

Presenting symptoms

Time after hysterectomy (days)

Peritoneum open

Evisceration

Type of repair

Relevant comorbidities

Relevant accompanying complications

1

55

35

2

135

100

Unknown

EC

Yes

Yes

Transvaginal interrupted

Bipolar and ultrasonic

Spontaneous

VBL

13

No

No

Transvaginal resuturing

None

Vaginal vault haematoma

2

41

30

1

115

150

Unknown

DUB and UM

No

Yes

Laparoscopic interrupted

Bipolar and ultrasonic

Spontaneous

VBL

15

No

No

Transvaginal suturing

Smoking

None

3

49

25

2

120

155

Unknown

DUB

No

Yes

Laparoscopic interrupted

Bipolar and ultrasonic

Spontaneous

VBL

20

No

No

Transvaginal suturing

None

None

4

56

24

1

105

25

100

EC

Yes

Yes

Laparoscopic interrupted

Bipolar and ultrasonic

Spontaneous

VBL

28

No

No

Transvaginal suturing

None

Granulation

5

46

23

1

110

50

315

UM

Yes

Yes

Laparoscopic running (QuillTM)

Bipolar and ultrasonic

Intercourse

VBL and pain

75

No

No

Transvaginal suturing

None

Granulation

6

40

26

1

125

25

360

UM

No

Yes

Laparoscopic running (QuillTM)

Bipolar and ultrasonic

Intercourse

VBL and pain

71

Yes

No

Laparoscopic resuturing

None

Fallopian tube prolapse

7

50

25

1

105

200

150

UM

No

Yes

Laparoscopic running (TEM)

Bipolar and ultrasonic

Intercourse

VBL and pain

57

Yes

No

Transvaginal suturing

None

None

8

34

22

1

95

75

140

UM

No

Yes

Laparoscopic running (TEM)

Bipolar and ultrasonic

Intercourse

VBL and pain

41

No

No

Transvaginal suturing

None

Abscess (most likelya)

  1. EC endometrial cancer, DUB dysfunctional uterine bleeding, UM uterine myomas, TEM suture method adopted from transanal endoscopic microsurgery (see ‘Methods’ section), VBL vaginal blood loss
  2. aBased on anamnesis and physical examination, this VCD most likely occurred after drainage of an abscess during sexual intercourse