Incidence of and Risk Factors for Vaginal Cuff Dehiscence after Hysterectomy: A 10-Year Retrospective Study at Two Institutions

Abstract

Abstract Objective: The goal of this research was to determine the incidence of vaginal cuff dehiscence after all types of total hysterectomies and to identify potential risk factors for dehiscence. Design: A retrospective chart review was performed to identify the incidence of vaginal cuff dehiscence after hysterectomy. This review was followed by a case-control study to identify risk factors for dehiscence (Canadian Task Force classification II-2). Materials and Methods: A retrospective chart review was performed on all women, at two institutions, who experienced vaginal cuff dehiscence after total hysterectomy over a 10-year period. All patients who experienced cuff dehiscence after any type of hysterectomy were included to determine the incidence of vaginal cuff dehiscence. A case-control study was then performed to identify risk factors for dehiscence. Results: Between 2000 and 2010 there were 4235 total hysterectomies performed and 8 dehiscences giving an overall incidence of vaginal cuff dehiscence...