잠시만 기다려 주세요. 로딩중입니다.

Evaluation of risk factors of vaginal cuff dehiscence after hysterectomy

대한산부인과학회지 2014년 57권 2호 p.136 ~ 143
 ( Kim Myung-Ji ) - Korea University College of Medicine Department of Obstetrics and Gynecology

 ( Kim Seong-min ) - Korea University College of Medicine Korea University Anam Hospital Department of Obstetrics and Gynecology
 ( Bae Hyo-Sook ) - Korea University College of Medicine Department of Obstetrics and Gynecology
 ( Lee Jae-Kwan ) - Korea University College of Medicine Guro Hospital Department of Obstetrics and Gynecology
 ( Lee Nak-Woo ) - Korea University Ansan Hospital Department of Internal Medicine
송재윤 ( Song Jae-Yun ) - Korea University College of Medicine Korea University Anam Hospital Department of Obstetrics and Gynecology

Abstract


Objective: The purpose of this study was to evaluate risk factors of vaginal cuff dehiscence or evisceration according to the type of operation.

Methods: Medical records of 604 women who underwent hysterectomies at Korea University Anam Hospital between June 2007 and June 2011 were reviewed. They were allocated to six groups. The six types of hysterectomies included robotic hysterectomy (n = 7), robotic radical hysterectomy and node dissection (RRHND, n = 9), total laparoscopic hysterectomy (TLH, n = 274), laparoscopy assisted vaginal hysterectomy (LAVH, n = 238), laparoscopic radical hysterectomy and node dissection (n = 11), and abdominal radical hysterectomy (ARH, n = 63). The characteristics and outcomes of each groups were compared.

Results: There was no difference in the characteristics of patients between 6 groups. In total of 604 hysterectomies, 3 evisceration (0.49%) and 21 dehiscences (3.47%) occurred. Evisceration were found in RRHND (1/9, 11.1%), TLH (1/276, 0.36%), and ARH (1/63, 1.56%). Dehiscences occurred in TLH (15/274, 5.42%), LAVH (4/238, 1.68%), and ARH (2/63, 3.17%). In 169 cases of TLH with intra-corporeal continuous suture, 1 evisceration and 4 dehiscences occurred, whereas 11 dehiscences occurred in 105 TLH cases with vaginal continuous locking suture (2.96% vs. 10.47%, P = 0.02).

Conclusion: The incidence of vaginal cuff dehiscenceand eviscerationwas significantly higher in TLH than LAVH. The intra-corporeal cuff suture was superior to the vaginal suture to prevent the vaginal cuff complications in TLH.

키워드

Complications; Hysterectomy; Surgical wound dehiscence; Suture techniques
원문 및 링크아웃 정보
  
등재저널 정보
KCI
KoreaMed
KAMS