Robotic repair of vaginal evisceration after hysterectomy and the role of intraoperative near-infrared fluorescence imaging.

J Robot Surg

Department of General Surgery, Acibadem University Medical School, Atakent Hospital, Halkali Merkez Mah. Turgut Ozal Bulvari, No:16, PO box: 34303, Istanbul, Turkey.

Published: September 2017

Vaginal evisceration of the small bowel is a rare and potentially life-threatening complication after hysterectomy. This complication requires prompt surgical management and methods of surgical repair include abdominal, vaginal or laparoscopic approaches. We report the first case of robotic approach for repair of vaginal evisceration and intraoperative use of near-infrared fluorescence imaging for the assessment of bowel perfusion in a 63-year-old postmenopausal woman with a history of robotic hysterectomy for cervix cancer. This case demonstrates the safety and feasibility of robotic surgery and the advantage of using intraoperative near-infrared fluorescence imaging for bowel perfusion, a critical factor for surgical decision-making.

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11701-017-0688-yDOI Listing

Publication Analysis

Top Keywords

vaginal evisceration
12
intraoperative near-infrared
12
near-infrared fluorescence
12
fluorescence imaging
12
repair vaginal
8
bowel perfusion
8
robotic
4
robotic repair
4
vaginal
4
evisceration hysterectomy
4

Similar Publications

Transvaginal evisceration is a rare, potentially life-threatening condition involving herniation of intra-abdominal contents, typically the small bowel, through a defect in the vaginal wall. Most commonly observed in postmenopausal women with a history of pelvic surgery or trauma, it necessitates prompt surgical intervention. We report a unique case of transvaginal evisceration in a 67-year-old postmenopausal female with rectovaginal prolapse following minor trauma.

View Article and Find Full Text PDF

Spontaneous transvaginal small bowel evisceration, without recent trauma or surgery, is extremely rare. Complications include bowel obstruction, perforation, gangrene, septicaemia and death, requiring urgent surgical intervention. We report a case of a woman in her late 60s, who presented with 70-75 cm of small intestine eviscerated through the vagina, alongside a long history of uterine and rectal prolapse.

View Article and Find Full Text PDF
Article Synopsis
  • * The case discussed involves an elderly woman in her 80s who experienced vaginal evisceration after a fall and was treated promptly at a military hospital.
  • * The patient underwent emergency surgery to repair the evisceration and later received definitive surgery, with expert insights provided to help manage similar cases in the future.
View Article and Find Full Text PDF

Objective: Vaginal cuff rupture is a rare but serious postoperative complication predominantly occurring after hysterectomy. Given that it can lead to partial or total evisceration, bowel strangulation, sepsis, and acute mesenteric ischemia. Any instance of this complication should be treated as a surgical emergency.

View Article and Find Full Text PDF

Vaginal cuff dehiscence can be a rare complication of total hysterectomy, with an estimated prevalence of 0.032% to 1.25% and a high mortality rate of 6 to 10%.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!