Please use this identifier to cite or link to this item: doi:10.22028/D291-34209
Title: Incidence of and risk factors for vaginal cuff dehiscence following total laparoscopic hysterectomy: a monocentric hospital analysis
Author(s): Radosa, Julia Caroline
Radosa, Marc Philipp
Zimmermann, Julia Sarah Maria
Braun, Eva-Marie
Findeklee, Sebastian
Wieczorek, Annette
Stotz, Lisa
Hamza, Amr
Takacs, Ferenc Zoltan
Risius, Uda Mareke
Gerlinger, Christoph
Radosa, Christoph Georg
Wagenpfeil, Stefan
Solomayer, Erich-Franz
Language: English
Title: Archives of Gynecology and Obstetrics
Publisher/Platform: Springer Nature
Year of Publication: 2021
Free key words: Vaginal cuff dehiscence
Total laparoscopic hysterectomy
Laparoscopic surgery
Risk factors
Gynecologic surgery
DDC notations: 610 Medicine and health
Publikation type: Journal Article
Abstract: Purpose Vaginal cuff dehiscence (VCD) is one of the major surgical complications following hysterectomy with data on incidence rates varying largely and studies assessing risk factors being sparse with contradictive results. The aim of this study was to assess the incidence rate of and risk factors for VCD in a homogenous cohort of women treated for benign uterine pathologies via total laparoscopic hysterectomy (TLH) with standardized follow-up. Methods All patients undergoing TLH at the Department of Gynecology and Obstetrics, Saarland University Hospital between November 2010 and February 2019 were retrospectively identified from a prospectively maintained service database. Results VCD occurred in 18 (2.9%) of 617 patients included. In univariate and multivariate analyses, a lower level of surgeon laparoscopic expertise (odds ratio 3.19, 95% confidence interval (CI) 1.0–9.38; p = 0.03) and lower weight of removed uterus (odds ratio 0.99, 95% CI 0.98–0.99; p = 0.02) were associated positively with the risk of VCD. Conclusion In this homogenous cohort undergoing TLH, laparoscopic expertise and uterine weight influenced the risk of postoperative VCD. These findings might help to further reduce the rate of this complication.
DOI of the first publication: 10.1007/s00404-021-06064-0
Link to this record: urn:nbn:de:bsz:291--ds-342091
ISSN: 1432-0711
Date of registration: 21-Jun-2021
Faculty: M - Medizinische Fakultät
Department: M - Frauenheilkunde
M - Medizinische Biometrie, Epidemiologie und medizinische Informatik
Professorship: M - Prof. Dr. E.-F. Solomayer
M - Prof. Dr. Stefan Wagenpfeil
Collections:SciDok - Der Wissenschaftsserver der Universität des Saarlandes

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