Management of Vaginal Vault Dehiscence After Laparoscopic Hysterectomy

Abstract

Vaginal vault dehiscence is a rare but serious complication of laparoscopic hysterectomy. Here we review the epidemiology, diagnosis, and management of vaginal vault dehiscence, and illustrate a 5-step surgical approach to laparoscopic vault repair. At a tertiary care centre, surgical footage was obtained from a 34-year-old female presenting 8 weeks after total laparoscopic hysterectomy with complete vault dehiscence following intercourse. Vaginal vault dehiscence complicates 0.64%–1.35% of laparoscopic hysterectomies, and can be categorized as complete cuff dehiscence, partial cuff dehiscence, or partial thickness cuff dehiscence.