Simulation-based Training Curriculum for the Management of Vaginal Cuff Dehiscence and Evisceration

Abstract

Vaginal cuff dehiscence with evisceration (VCDE) is a serious, life-threatening complication of hysterectomy. Due to the high volume of hysterectomies performed in the U.S each year, it is likely that a practitioner will encounter VCDE during their career. Due to its infrequent occurrence, residents receive little exposure to it during training. Delayed diagnosis of VCDE can impede proper management and lead to severe, long-term complications or death. Our goal was to provide an opportunity for resident physicians to identify VCDE and practice performing a reduction of prolapsed bowel and vaginal cuff repair through hands-on simulation in hopes that the simulation would improve the residents' confidence and knowledge in recognizing and managing future VCDE cases.

Vaginal Cuff Dehiscence: Two Case Reports and a Review of the Literature

“…Others did not find a significant influence of surgeon volume [ 12 , 19 ]. Chapman et al [ 40 ] organized a simulation for recognition and management of VCD, and found gynecology residents’ knowledge and confidence in recognizing VCD, identifying the need for surgical management, and performing a reduction of prolapsed bowel and vaginal cuff repair to be improved after the training.…”