title: Two cases of post-coital vaginal cuff dehiscence with small bowel evisceration after robotic-assisted laparoscopic hysterectomy.
abstract: BACKGROUND
  Vaginal cuff dehiscence following robotic surgery is uncommon. Published reports of vaginal cuff dehiscence following robotic surgery are increasing, but the true incidence is unknown.
  
  
  METHODS
  Case 1. A 45 year old female had sexual intercourse and presented with a vaginal cuff dehiscence complicated by small bowel evisceration 4 months after RA-TLH. Case 2. A 44 year old female had sexual intercourse and presented with a vaginal cuff dehiscence with small bowel evisceration 6 weeks after RA-TLH.
  
  
  CONCLUSIONS
  We discuss the rate of vaginal cuff dehiscence by mode of hysterectomy, surgical and non-surgical risk factors that may contribute to vaginal cuff dehiscence, and proposed preventative methods at the time of RA-TLH to reduce this complication.
  
  
  CONCLUSIONS
  Vaginal cuff dehiscence with associated evisceration of intraabdominal contents is a potentially severe complication of hysterectomy. We recommend counseling patients who undergo RA-TLH to abstain from vaginal intercourse for a minimum of 8-12 weeks.
authors.affiliation: Department of Obstetrics and Gynecology, Westchester Medical Center of New York Medical College, United States. Electronic address: Miminguyen17@gmail.com.
authors.forename: My-Linh T
authors.initials: ML
authors.lastname: Nguyen
authors.forename: Monica
authors.initials: M
authors.lastname: Kapoor
authors.forename: Tana S
authors.initials: TS
authors.lastname: Pradhan
authors.forename: Tarah L
authors.initials: TL
authors.lastname: Pua
authors.forename: Sean S
authors.initials: SS
authors.lastname: Tedjarati