Document Detail


Injury of the rectum during vaginal surgery.
MedLine Citation:
PMID:  10454668     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: We sought to report our experience with injury of the rectum during vaginal surgery. Study Design: A retrospective chart review of a vaginal surgery database was performed. RESULTS: Nine injuries were identified. Four patients with posthysterectomy vault prolapse incurred a rectal laceration just above the perineum during an attempt to develop the rectovaginal space. Another rectal laceration occurred just above the perineum during an attempt to develop the rectovaginal space during vaginectomy-hysterectomy for gender dysphoria. Three other injuries occurred between the vaginal cuff and peritoneum while posterior culdotomy for vaginal hysterectomy was attempted. The remaining injury was in a Schuchardt incision. All 9 injuries were recognized, repaired, and healed without complication. CONCLUSIONS: Laceration of the rectum is an uncommon complication of vaginal surgery. Prompt recognition and repair result in uncomplicated primary healing.
Authors:
M S Hoffman; C Lynch; J Lockhart; R Knapp
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  181     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1999 Aug 
Date Detail:
Created Date:  1999-09-15     Completed Date:  1999-09-15     Revised Date:  2009-11-03    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  274-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, University of South Florida, Tampa, USA.
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MeSH Terms
Descriptor/Qualifier:
Female
Humans
Hysterectomy / adverse effects
Intraoperative Complications
Prolapse
Rectum / injuries*
Retrospective Studies
Vagina / surgery*
Vaginal Diseases / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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