Vaginal Cuff Dehiscence after Minimal Invasive Hysterectomy: Laparoscopic Surgical Techniques

Vaginal cuff dehiscence (VCD) after hysterectomy is an adverse event with potential severe morbidity. Although the data are limited, minimally invasive approaches to hysterectomy, such as total laparoscopic hysterectomy (TLH), may be associated with a higher risk of vaginal cuff dehiscence. The cause for these dehiscences is unknown, and multiple factors may be involved. Internationally, the etiology of VCD is still a matter of concern. Either in its technique (TLH) as in the used technology (electrosurgical colpotomy and/or suturing method), an explanation could be found for the higher incidence of VCD. This study aims to review laparoscopic surgical techniques in the minimal invasive hysterectomy and its association with VCD.