Utility of Routine Post-Operative Exam for Detecting Vaginal Cuff Dehiscence After Hysterectomy

Friday, October 6, 2023

12:34 PM – 12:38 PM US PST

Location: Oregon Ballroom

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Image Label: Surgical Variables

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Image Label: Vaginal Cuff Dehiscence Patients

Presenting Author(s)

Rachel Caskey, MD (she/her/hers)

Resident Physician
Cedars-Sinai Medical Center
West Hollywood, California, United States

PDF

Co-Author(s)

Clarissa A. Niino, MD (she/her/hers)

Resident Physician
Cedars-Sinai Medical Center
Los Angeles, California, United States
RM

Raanan Meyer, MD

Fellow Physician
Cedars-Sinai Medical Center
Los Angeles, California, United States
MT

Mireille Truong, MD

Assistant Professor, Minimally Invasive Gynecologic Surgery
Cedars-Sinai Medical Center
Los Angeles, California, United States
KW

Kelly Wright, MD

Division Director, Minimally Invasive Gynecologic Surgery
Cedars-Sinai Medical Center
Los Angeles, California, United States
MS

Matthew T. Siedhoff, MD, MSCR (he/him/his)

Vice Chair, Gynecology
Cedars-Sinai Medical Center
Los Angeles, California, United States

Disclosure(s):

Rachel Caskey, MD: No financial relationships to disclose

Clarissa A. Niino, MD: No financial relationships to disclose

Raanan Meyer, MD: No financial relationships to disclose

Mireille Truong, MD: cooper Surgical: Consultant/Advisory Board (Ongoing); Ethicon: Consultant/Advisory Board (Ongoing); Intuitive: Consultant/Advisory Board (Ongoing); Medtronic: Consultant/Advisory Board (Ongoing)

Kelly Wright, MD: Aqua Therapeutics: Consultant/Advisory Board (Ongoing); Ethicon: Consultant/Advisory Board (Ongoing); Hologic: Consultant/Advisory Board (Ongoing); Karl Storz: Consultant/Advisory Board (Ongoing)

Matthew T. Siedhoff, MD, MSCR: Applied Medical: Consultant/Advisory Board (Ongoing)

This session will review the utility of routine post-operative vaginal cuff examination for detection of vaginal cuff dehiscence (VCD) in asymptomatic women after total laparoscopic or robotic hysterectomy. Our study compared two patient cohorts after minimally invasive hysterectomy: 1) Patients with vaginal cuff check 6 to 8 weeks post-operatively and 2) Patients who did not have a cuff check, with the majority following up entirely virtually as a result of a shift in practice during the COVID-19 pandemic. Of the 703 patients in our study, 9 had VCD with no statistically significant difference in VCD among groups. No patients had VCD detected on routine exam, leading us to conclude that vaginal cuff exam does not affect or negate the risk of future VCD.