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[Abstract] [PDF] [HTML] [Linked References] International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109 Volume 12, Issue 3, October 2014 pp 461-463 Research Article Laparoscopy assisted management of vaginal evisceration Jayanth Leo1, Parimuthukumar2, Vishwanath Pai3, A. Rekha4, Bhuvana5 {1,2Assistant Professor, 3,4Professor, Department of General Surgery} {5Associate Professor, Department of Obstetrics and Gynaecology} Porur, Chennai 600116, Tamil Nadu, INDIA.
Introduction: Evisceration is an uncommon surgical emergency. A vaginal evisceration is a rare occurrence following hysterectomy. The risk factors of having an evisceration are obesity, sudden increase in intra abdominal pressure, vaginal surgeries and post menopausal age group. This is a case report of a 58 year old lady who presented to the emergency room with evisceration through the vaginal vault. This mandates an early diagnosis of the condition, start the patient on broad spectrum antibiotics on admission and plan emergent surgical intervention. In our case we did a combined vaginal and laparoscopic approach. The use of minimally invasive surgery had saved the patient the morbidity of a laparotomy especially when done as an emergency procedure. The outcome of having managed this patient this way was rewarding. |
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