Title

Total Laparoscopic Repair of Vaginal Cuff Dehiscence During Chemoradiation in an Endometrial Cancer Following Laparoscopic Staging

Publication Date

2017

Document Type

Article

Publication Title

Journal of Gynecologic Surgery

Abstract

ackground: The field of minimally invasive surgery is progressing rapidly and extends to the field of gynecologic oncology. To date, the number of gynecologic oncologists who use laparoscopic surgery to treat endometrial cancer is increasing. As minimally invasive therapy advances technically and instrumentally, more-complicated procedures are being performed, thereby increasing the number of complications. Vaginal cuff dehiscence (VCD) is one of complications that may arise. VCD is a rare but severe complication.

Case: A nonobese 55-year-old female underwent laparoscopic hysterectomy, bilateral salpingo-oophorectomy, and dissection of pelvic and para-aortic lymph nodes for endometrial cancer. Subsequently, this patient underwent total laparoscopic repair of VCD during chemoradiation that was used to treat her endometrial cancer following the laparoscopic staging.

Results: After the second surgery, this patient received 2 cycles of chemotherapy without brachytherapy, and follow-up examination did not show any evidence of recurrence.

Conclusions: Radiation therapy may impair wound healing and affect surgical outcomes; thus, the treatment of VCD should be decided by the patient's general condition, including any evisceration, and assessment of her risk factors.

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