Case Report

Delayed Presentation of Vaginal Cuff Dehiscence after Robotic Hysterectomy for Gynecologic Cancer: A Case Series and Review of the Literature

Table 1

Characteristic of patients with vaginal vault dehiscence.

PtAgeBMI (kg/m2)DiagnosisPODPresenting symptomsDefectInitial vaginal cuff closureMethod of reclosureRisk factors

14326Squamous cell cervical cancer461Vaginal pain, vaginal bulge2.5 cmPolyglactin 910, continuous end-to-end suturePolyglactin 910, interrupted sutureCoitus
Active smoker

25118Squamous cell cervical cancer342None4 cmBarbed suture, bidirectional running fashionPolyglactin 910, interrupted sutureEBRT

37028Endometrioid adenocarcinoma343Vaginal discharge2.5 cmPolyglactin 910, bidirectional running fashionPolyglactin 910, interrupted sutureEBRT
Brachytherapy
Vaginal dilator use

Pt, patient; BMI, Body Mass Index; POD, postoperative day; EBRT, External Beam Radiation Therapy.