Vaginal Cuff Dehiscence and a Guideline to Determine Treatment Strategy
Abstract
:1. Introduction
2. Materials and Methods
2.1. Patient Selection and Data Collection
2.2. A Guideline of Vaginal Cuff Dehiscence and Evisceration
2.3. Statistical Analysis
2.4. Ethics
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Overall | TAH | MIH | ||
---|---|---|---|---|
Variables | (n = 53) | (n = 12) | (n = 41) | p (c) |
Age (years) (a) | 46.6 ± 7.2 | 47.0 ± 7.6 | 46.5 ± 7.2 | 0.847 |
Menopause (b) | ||||
Pre | 43 (81.1) | 10 (83.3) | 33 (80.5) | 0.825 |
Post | 10 (18.9) | 2 (16.7) | 8 (19.5) | |
BMI (kg/m2) (a) | 22.5 ± 4.0 | 22.4 ± 4.3 | 22.5 ± 3.9 | 0.959 |
Diagnosis (b) | ||||
Benign | 34 (64.2) | 4 (33.3) | 30 (73.2) | 0.011 |
Malignancy | 19 (35.8) | 8 (66.7) | 11 (26.8) | |
Parity (a) | 1.8 ± 0.9 | 2.1 ± 1.3 | 1.7 ± 0.8 | 0.254 |
Initial Hb (g/dL) (a) | 11.8 ± 1.8 | 11.7 ± 1.9 | 11.8 ± 1.8 | 0.867 |
Uterine weight (g) (a) | 243.6 ± 497.3 | 144.7 ± 94.0 | 273.8 ± 564.4 | 0.457 |
Chemotherapy (b) | ||||
No | 48 (90.6) | 9 (75.0) | 39 (95.1) | 0.036 |
Yes | 5 (9.4) | 3 (25.0) | 2 (4.9) |
Overall | TAH | MIH | ||
---|---|---|---|---|
Variables | (n = 53) | (n = 12) | (n = 41) | p |
Time to occurrence (days) (a)(b) | 80.2 ± 73.2 | 93.3 ± 123.2 | 67.2 ± 60.8 | 0.671 |
Interval to dehiscence | ||||
<8 weeks (early) | 29 (54.7) | 8 (66.7) | 21 (51.2) | 0.344 |
≥8 weeks (late) | 24 (45.3) | 4 (33.3) | 20 (48.8) | |
Evisceration (b) | 0.425 | |||
No | 50 (94.3) | 11 (83.3) | 38 (90.2) | |
Yes | 3 (5.7) | 2 (16.7) | 4 (9.8) | |
Method of treatment (b) | 0.074 | |||
Laparoscopic | 16 (30.2) | 1 (8.3) | 15 (36.5) | |
Abdominal | 2 (3.8) | 0 (0) | 2 (4.9) | |
Vaginal | 21 (39.6) | 9 (75.0) | 12 (29.3) | |
Expectant | 14 (26.4) | 2 (16.7) | 12 (29.3) | |
Post-cuff repair complication (b) | 0.260 | |||
No | 49 (92.5) | 12 (100) | 37 (90.2) | |
Yes | 4 (7.5) | 0 (0) | 4 (9.8) | |
Transfusion (b) | 0.585 | |||
No | 52 (98.1) | 12 (100) | 40 (97.6) | |
Yes | 1 (1.9) | 0 (0) | 1 (2.4) | |
Hospitalized days (days) (a) | 5.8 ± 2.58 | 5.3 ± 1.8 | 6.3 ± 4.9 | 0.730 |
Variables | Early Occurrence < 8 Weeks | Late Occurrence ≥ 8 Weeks | p |
---|---|---|---|
Age (years) (a) | 45.3 ± 1.3 | 48.3 ± 1.5 | 0.130 |
Menopause (b) | |||
Pre | 27 (93.1) | 16 (66.7) | 0.031 |
Post | 2 (6.9) | 8 (33.3) | |
BMI (kg/m2) (a) | 23.2 ± 0.8 | 21.6 ± 0.6 | 0.123 |
Uterine weight (g) (a) | 322.3 ± 645.2 | 137.3 ± 91.2 | 0.211 |
Diagnosis (b) | |||
Benign | 18 (62.1) | 16 (66.7) | 0.728 |
Malignancy | 11 (37.9) | 8 (33.3) | |
Chemotherapy (b) | |||
No | 26 (89.7) | 22 (21.7) | 1.000 |
Yes | 3 (10.3) | 2 (8.3) | |
Mode of hysterectomy (b) | |||
MIH | 21 (72.4) | 20 (83.3) | 0.344 |
TAH | 8 (27.6) | 4 (16.7) | |
Surgical repair (b)(c) | |||
Yes | 16 (51.7) | 23 (95.8) | 0.000 |
No | 13 (48.3) | 1 (4.2) | |
Method of treatment (b) | |||
Laparoscopic | 3 (11.1) | 13 (54.2) | 0.000 |
Abdominal | 1 (3.4) | 1 (4.2) | |
Vaginal | 12 (41.4) | 9 (37.5) | |
Expectant | 13 (44.8) | 1 (4.2) | |
Hospitalized days after dehiscence (days) (a) | 7.1 ± 5.2 | 4.9 ± 2.6 | 0.149 |
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Eoh, K.J.; Lee, Y.J.; Nam, E.J.; Jung, H.I.; Kim, Y.T. Vaginal Cuff Dehiscence and a Guideline to Determine Treatment Strategy. J. Pers. Med. 2023, 13, 890. https://doi.org/10.3390/jpm13060890
Eoh KJ, Lee YJ, Nam EJ, Jung HI, Kim YT. Vaginal Cuff Dehiscence and a Guideline to Determine Treatment Strategy. Journal of Personalized Medicine. 2023; 13(6):890. https://doi.org/10.3390/jpm13060890
Chicago/Turabian StyleEoh, Kyung Jin, Young Joo Lee, Eun Ji Nam, Hye In Jung, and Young Tae Kim. 2023. "Vaginal Cuff Dehiscence and a Guideline to Determine Treatment Strategy" Journal of Personalized Medicine 13, no. 6: 890. https://doi.org/10.3390/jpm13060890