Vaginal laceration post hysterectomy


Operative injuries during vaginal hysterectomy are relatively rare. Although obstetrically related trauma remains the most common cause of injury to the female genital tract, trauma of nonobstetric origin is not uncommon. In this report we describe a rare and delayed presentation of VCD. Two of the patients required aggressive fluid resuscitation to reverse their shock status, and one patient required a blood transfusion. The lacerations were repaired primarily with continuous interlocking or chromic sutures. Chest, abdomen, and pelvis computerized tomography CT imaging showed pneumoperitoneum and pneumomediastinum. Other factors include rough and violent thrusting of the penis during intercourse, insertion of foreign bodies, and sexual assault.
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Operative injuries during vaginal hysterectomy.

By continuing you agree to the use of cookies. Preparedness for these emergencies eliminates dangerous delays and inadequate examination and treatment. Few cases can be managed conservatively. While severe vaginal lacerations are commonly encountered by physicians, they are infrequently reported in the literature. Nonobstetric lower genital tract trauma. Emerg Med Clin North Am. Such injuries are also usually limited to the lower vagina.
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It was later discovered that her husband had physically and sexually abused her. Preparedness for these emergencies eliminates dangerous delays and inadequate examination and treatment. Nonobstetric vaginal trauma can span a continuum of severity from minor trauma resulting from normal sexual intercourse to major vaginal lacerations. The authors report their recent experience with treating patients who have this type of trauma, review mechanisms of injury, and provide an organized treatment protocol for the nonobstetric patient with suspected vaginal laceration. The true incidences of such injuries are difficult to ascertain, especially because the nature of vaginal injury usually remains undisclosed. A year-old woman G0 had a spiral-shaped laceration that extended from the cervix at the 3-o'clock position to the posterior fornix on the right and spiraled distally to terminate at the o'clock position, about 1 cm proximal to the hymenal ring. Many cases resolve without medical intervention, but severe lacerations sometimes require hospitalization and may be fatal.
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Description:By continuing to use our website, you are agreeing to our privacy policy. Vaginal cuff dehiscence VCD is a rare post-operative complication after hysterectomy in which the approximated edges of the vaginal cuff separate. Operative injuries during vaginal hysterectomy are relatively rare. Because of the personal nature of some of these injuries, the physician should be cognizant of marked patient delay in obtaining professional help. Reports of traumatic injuries to the vagina, especially lacerations, have been infrequent in the literature and offer only a generalized approach to this problem. The first type is relatively minor and is associated with normal sexual intercourse or the first experience of sexual intercourse.

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