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Related Concept Videos

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Vagina

The vaginal canal is a tubular structure averaging about 10 cm in length that acts as the entryway to the female reproductive system and the passageway for menstrual flow and childbirth. The interior walls of the vagina exhibit concentric folds called rugae and are topped by an area known as the fornix, which connects with the protruding cervical portion of the uterus. This canal is comprised of an external fibrous layer, a muscular middle layer, and an inner lining with mucosal rugae, which...
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Related Experiment Video

Updated: May 10, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
05:21

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

Published on: September 12, 2025

Vaginal cuff dehiscence after hysterectomy.

Yu-Jin Koo1, Dae-Yeon Kim, Jong-Hyeok Kim

  • 1Department of Obstetrics and Gynecology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|June 27, 2013
PubMed
Summary

Laparoscopic hysterectomy significantly reduces the risk of vaginal cuff dehiscence (VCD) compared to abdominal hysterectomy. This finding highlights the importance of surgical route in preventing VCD after hysterectomy.

Keywords:
ComplicationHysterectomyLaparoscopyVault dehiscence

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Last Updated: May 10, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
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Published on: June 16, 2022

Area of Science:

  • Gynecology
  • Surgical Outcomes
  • Pelvic Surgery

Background:

  • Vaginal cuff dehiscence (VCD) is a rare but serious complication following hysterectomy.
  • Understanding risk factors associated with VCD is crucial for improving patient safety.

Purpose of the Study:

  • To investigate the incidence of vaginal cuff dehiscence (VCD) after hysterectomy.
  • To identify clinico-surgical factors, including surgical route, associated with VCD.
  • To describe patient characteristics linked to VCD.

Main Methods:

  • Retrospective review of 9973 hysterectomy cases between 2005 and 2011.
  • Analysis of VCD incidence based on patient age, hysterectomy route (abdominal, laparoscopic, vaginal), indication, and extent of resection.
  • Statistical comparison of VCD rates across different surgical approaches.

Main Results:

  • The overall incidence of VCD was 0.37% (37 cases).
  • Abdominal hysterectomy showed a significantly higher VCD incidence (0.6%) compared to laparoscopic (0.2%) and vaginal (0.4%) routes (P=0.016).
  • Abdominal hysterectomy presented a 2.735-fold increased risk of VCD versus laparoscopic approaches; no significant differences were found based on indication or resection extent.

Conclusions:

  • Laparoscopic hysterectomy is associated with a lower risk of VCD compared to abdominal hysterectomy.
  • Differences in colpotomy and cuff closure techniques likely contribute to the reduced VCD risk with laparoscopic procedures.
  • Surgical route is a key factor influencing VCD incidence post-hysterectomy.