Vaginal Evisceration Subsequent to Hysterectomy at a Major Cancer Center

Abstract

Objective: This article describes the incidence, presentation, management, and outcome of posthysterectomy vaginal cuff evisceration over a 2-year timeperiod at a major cancer center. Materials and Methods: This was a retrospective chart review of patients who developed vaginal cuff evisceration after prior hysterectomy. The denominator of hysterectomies performed by the department between May 1, 2020 and April 30, 2022, was included in the analysis. The cases of vaginal evisceration were well-known to the practice. Results: Three women who had undergone hysterectomy during the 2-year timeperiod developed vaginal cuff evisceration. This incidence was 0.3%. All 3 women underwent surgical repair (1 with bowel resection) without subsequent complications. Conclusions: Vaginal evisceration is a rare complication of hysterectomy at a major cancer center. This report adds to the body of knowledge regarding diagnosis and management of this dramatic and life-threatening event. (J GYNECOLO SURG 20XX:000)