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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 ā€˜Methodsā€™ 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