Vaginal cuff closure technique and the risk for infected pelvic hematoma after vaginal hysterectomy

Feferkorn, Ido; Schmidt, Meirav; Segev, Yakir; Zilberlicht, Ariel; Auslender, Ron; Abramov, Yoram

doi:10.1016/j.ejogrb.2016.09.015

Cited by 3 publications

(2 citation statements)

References 16 publications

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“…19 A significant reduction in the incidence of infected pelvic hematoma following vaginal hysterectomy was noted using an open surgical technique that allows for drainage of blood and debris through the vaginal cuff (3.8% vs. 13.5%, p<0.0001). 20…”

Section: Resultsmentioning

confidence: 99%

A comparison of closed and open vaginal vault closure during abdominal hysterectomy

Malla

Pradhan

Sharma

et al. 2022

J Patan Acad Health Sci

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Introduction: Hysterectomy is one of the most frequently performed major surgical procedure. Majority of the hysterectomies are still done by the means of abdominal route. Despite its common performance, there are no grade A recommendations or guidelines regarding closure of vaginal vault. Surgical technique of hysterectomy may include either closed or open vaginal vault. This study aimed to compare these two techniques in terms of duration of hospital stay, febrile morbidity, vault hematoma, vaginal bleeding, relaparatomy to provide further guidance for surgical decisions. Method: This is a retrospective study done at Patan Hospital involving patients with total abdominal hysterectomy from January 2018 to December 2020. Data were collected from medical record. Statistical analysis was done using Statistical Packages for Social Sciences (SPSS-20). The independents sample t test was used. A p value of <0.05 were considered statistically significant Result: Of the 280 surgeries, 205 (73.2%) had vaginal vault closed whereas 75 (26.8%) were open. Mean length of hospital stay was 7.93 days with standard deviation of 3.108. Closed and open vaginal vault techniques did not differ in terms of length of hospital stay (7.83 vs. 8.19 days; p=0.40), febrile morbidity (54.6% vs. 52%; p= 0.695). Pelvic hematoma with vaginal spotting was seen in two (0.71%) cases of closed vaginal vault. Conclusion: Both techniques of hysterectomy gave similar outcomes regarding length of hospital stay, showed no significant difference regarding postoperative complications. Our study failed to show inferiority in favor of either of the surgical techniques.

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Section: Resultsmentioning

confidence: 99%

A comparison of closed and open vaginal vault closure during abdominal hysterectomy

Malla

Pradhan

Sharma

et al. 2022

J Patan Acad Health Sci

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show abstract

“…In contrast, a retrospective study found that leaving a patent tract in the vaginal vault instead of a complete closure significantly reduced the possibility of pelvic hematoma infection after a vaginal hysterectomy. They suggested that inserting a vault drain significantly reduced the incidence of infected pelvic hematomas compared to the complete closure of the vaginal vault [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Vaginal vault drainage as an effective and feasible alternative in laparoscopic hysterectomy

Chon

Lee

et al. 2022

Obstet Gynecol Sci

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Infected pelvic hematoma is a serious complication of hysterectomies. Pelvic drainage can help reduce complications. In this study, we evaluated the efficacy and safety of vaginal vault drainage in patients who underwent laparoscopic hysterectomy for benign gynecological diseases. MethodsPatients who underwent laparoscopic hysterectomy and pelvic drain insertion for benign gynecological diseases between January 2008 and December 2015 were enrolled retrospectively in the study. They were grouped according to drain insertion sites, that is, through the abdomen (group 1) and vaginal vault (group 2). The postoperative outcomes were compared between the two groups. ResultsA total of 504 women were included. No significant differences were observed in the prevalence of postoperative fever, readmission, and reoperation between the two groups. ConclusionGiven the discomfort associated with holding and removing the abdominal drain, inserting a closed pelvic gravity drain through the vaginal vault appears to be a feasible alternative to an abdominal drain.

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Vaginale Hysterektomie: infizierte Hämatome im Beckenbereich wie verhindern?

Lichert¹

2017

Geburtshilfe Frauenheilkd

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Vaginal cuff closure technique and the risk for infected pelvic hematoma after vaginal hysterectomy

Abstract: A significant reduction in the incidence of infected pelvic hematoma following vaginal hysterectomy was noted using a surgical technique that allows for drainage of blood and debris through the vaginal cuff.

Cited by 3 publications

References 16 publications

A comparison of closed and open vaginal vault closure during abdominal hysterectomy

A comparison of closed and open vaginal vault closure during abdominal hysterectomy

Vaginal vault drainage as an effective and feasible alternative in laparoscopic hysterectomy

Vaginale Hysterektomie: infizierte Hämatome im Beckenbereich wie verhindern?

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