Vaginal cuff dehiscence in a series of 12,398 hysterectomies: Effect of different types of colpotomy and vaginal closure

Stefano Uccella, Marcello Ceccaroni, Antonella Cromi, Mario Malzoni, Roberto Berretta, Pierandrea De Iaco, Giovanni Roviglione, Giorgio Bogani, Luca Minelli, Fabio Ghezzi

Research output: Contribution to journalArticle

Abstract

Objective: To investigate the risk of vaginal cuff dehiscence after different routes of hysterectomy and methods of cuff closure. Methods: A multi-institutional analysis of 12,398 patients who underwent hysterectomy for both benign and malignant disease between 1994 and 2008 was performed. We analyzed how different routes of hysterectomy and approaches to cuff suture may influence the risk of development of vaginal dehiscence. Results: Women who had total laparoscopic (n=3,573), abdominal (n=4,291), and vaginal (n=4,534) hysterectomies experienced 23 (0.64%), 9 (0.2%), and 6 (0.13%) cases of vaginal cuff dehiscence, respectively. Total laparoscopic hysterectomy was associated with a higher incidence of cuff separations, compared with abdominal hysterectomy (0.64% compared with 0.21%, P=.003) and vaginal hysterectomy (0.64% compared with 0.13%, P

Original languageEnglish
Pages (from-to)516-523
Number of pages8
JournalObstetrics and Gynecology
Volume120
Issue number3
DOIs
Publication statusPublished - Sep 2012

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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    Uccella, S., Ceccaroni, M., Cromi, A., Malzoni, M., Berretta, R., De Iaco, P., Roviglione, G., Bogani, G., Minelli, L., & Ghezzi, F. (2012). Vaginal cuff dehiscence in a series of 12,398 hysterectomies: Effect of different types of colpotomy and vaginal closure. Obstetrics and Gynecology, 120(3), 516-523. https://doi.org/10.1097/AOG.0b013e318264f848