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Intermediate Technical IVT

vaginal cuff dehiscence

Pronunciation: dee-HISS-ens

Separation or breakdown of the vaginal closure site following hysterectomy.

Full Definition

Vaginal cuff dehiscence is a serious post-operative complication characterized by the partial or complete separation of the vaginal cuff closure following hysterectomy. This condition typically occurs within the first few weeks to months after surgery and may present with vaginal bleeding, pelvic pain, or bowel evisceration in severe cases. Risk factors include infection, hematoma formation, smoking, diabetes, and certain surgical techniques. The condition requires immediate medical attention and often necessitates surgical repair.

Usage

Usage note: Use 'dehiscence' not 'dehiscense' - a common misspelling.

In Context

  • "The patient presented with vaginal bleeding six weeks post-hysterectomy, concerning for vaginal cuff dehiscence." — Emergency department note
  • "Risk factors for vaginal cuff dehiscence include smoking, diabetes, and post-operative infection." — Patient education material

Also known as

cuff separation vaginal vault dehiscence

Contrasted with

cuff integrity

Don't confuse with

vaginal vault prolapse

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