Vaginal cuff dehiscence and evisceration: a review of the literature.
Vaginal cuff dehiscence and evisceration are rare but potentially serious complications of hysterectomy. In this article, we review the incidence, risk factors, management, and preventive measures for dehiscence based on available literature.



Identifying risk factors for dehiscence is challenging because studies lack comparison groups and most studies are largely underpowered to draw concrete conclusions.



High-quality data on cuff dehiscence after hysterectomy are limited. Potentially modifiable risks that optimize vaginal wound healing, minimize vaginal cuff strain, and minimize cuff infection should be optimized.
aDepartment of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts bDepartment of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, Texas, USA *Hye-Chun Hur and Michelle Lightfoot contributed equally to the writing of this article.
Hye-Chun
HC
Hur
Michelle
M
Lightfoot
Miranda Gomez
MG
McMillin
Kimberly A
KA
Kho
D037001:Directive Counseling; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D015994:Incidence; D011183:Postoperative Complications / Q000503:physiopathology* / Q000628:therapy; D012307:Risk Factors; D012746:Sexual Abstinence; D013529:Surgical Wound Dehiscence / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D014623:Vaginal Diseases / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D014945:Wound Healing