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Sonographic assessment of the vaginal vault following hysterectomy
C J Haines1, Y O Shan, T W Hung
1Department of Obstetrics and Gynaecology, Prince of Wales Hospital, Chinese University of Hong Kong, New Territories.
Objective:
A prospective study to determine the sonographic appearance of the vaginal vault following hysterectomy.
Methods:
A transvaginal sonographic examination of the vaginal vault on the third postoperative day. Follow-up to determine the incidence of postoperative morbidity.
Results:
An accurate sonographic examination of the vaginal vault was possible in 66/71 cases (92.9%). Fluid collections were visible in 28/66 cases (42.4%), and measured up to 41.1 cm2 in the transverse plane and 30.2 cm2 in the sagittal plane. There was no correlation between the presence of a collection and indices of postoperative morbidity.
Conclusion:
Collections of fluid at the vaginal vault are common after hysterectomy, but do not usually contribute to postoperative morbidity.