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Recurrent vaginal vault dehiscence and evisceration following total laparoscopic hysterectomy, successfully repaired with polypropylene mesh and sacrocolpopexy

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dc.contributor.author Rathigashini, R.
dc.contributor.author Wanniarachchi, W.A.D.P.
dc.contributor.author de Silva, A.
dc.contributor.author Herath, R.P.
dc.date.accessioned 2022-10-07T06:20:58Z
dc.date.available 2022-10-07T06:20:58Z
dc.date.issued 2022
dc.identifier.citation Journal of Surgical Case Reports.2022;2022(9):rjac453. en_US
dc.identifier.issn 2042-8812
dc.identifier.uri http://repository.kln.ac.lk/handle/123456789/25279
dc.description Not Indexed in MEDLINE; IN PUBMED en_US
dc.description.abstract Recurrent vault dehiscence is a rare and potentially serious complication following hysterectomy. We report a rare case of recurrent vault dehiscence and evisceration following a total laparoscopic hysterectomy (TLH) which was successfully repaired with polypropylene mesh and sacro-colpopexy. A 47-year-old multiparous woman underwent TLH for adenomyosis. During the surgery, vaginal wall was incised with monopolar diathermy and sutured with synthetic absorbable barbed suture in a single layer. She presented 12 weeks later with vault dehiscence and evisceration of omentum. Laparoscopically, eviscerated omental part was removed and the vaginal cuff was repaired vaginally with absorbable synthetic suture. She came with a recurrence in 3 months with vault dehiscence and a vault prolapse without any evisceration. She underwent laparoscopic mesh repair of the vault combined with laparoscopic Sacro-colpopexy with complete recovery. Incidence of vault dehiscence is found to be higher in TLH than abdominal or vaginal hysterectomy. Treatment options for recurrent vault dehiscence involve strengthening the vault with tissues, or with a prosthesis. en_US
dc.language.iso en en_US
dc.publisher Oxford University Press en_US
dc.subject Dehiscence en_US
dc.subject Evisceration en_US
dc.title Recurrent vaginal vault dehiscence and evisceration following total laparoscopic hysterectomy, successfully repaired with polypropylene mesh and sacrocolpopexy en_US
dc.type Case report en_US


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