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Vaginal evisceration is a serious complication of dehiscence (where a surgical wound reopens after the procedure), which can be due to trauma. [1] 63% of reported cases of vaginal evisceration follow a vaginal hysterectomy (where the uterus removal surgery is performed entirely through the vaginal canal). [2]
Radical hysterectomy: complete removal of the uterus, cervix, upper vagina, and parametrium. Indicated for cancer. Lymph nodes, ovaries, and fallopian tubes are also usually removed in this situation, such as in Wertheim's hysterectomy. [61] Total hysterectomy: complete removal of the uterus and cervix, with or without oophorectomy.
Apical vaginal prolapse. Uterine prolapse (uterus into vagina) [4] Vaginal vault prolapse (descent of the roof of vagina) – after surgical removal of the uterus hysterectomy [5] Uterine prolapse in a 71 year old woman, with the cervix visible in the vaginal orifice.
Total hysterectomies, where the entire uterus (including the cervix) is removed. ... In a vaginal hysterectomy, the uterus is removed through an incision made at the top of your vagina.
Secondary cul-de-sac hernias are those which develop after gynecologic procedures, especially after vaginal hysterectomy. [8] Another classification of cul-de-sac hernias is internal, meaning those that are only visible on defecography, or external, which are associated with a clinically visible rectocele or rectal prolapse. [4]
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The vaginal cuff is the upper portion of the vagina that opens up into the peritoneum and is sutured shut after the removal of the cervix and uterus during a hysterectomy. [ 1 ] [ 2 ] The vaginal cuff is created by suturing together the edges of the surgical site where the cervix was attached to the vagina.
In addition to a greater degree of tissue removal, total vaginectomy also involves a more complete closure of the space in the vaginal canal. In comparison to colpocleisis, it is more often preceded by separate oophorectomy and hysterectomy procedures and proceeded by a separate gender reconstruction surgery such as to create a neophallus. [6]