Wang LY, Wang QQ, Xu JN, Wang SY, Shi Y. Factors influencing vaginal cuff dehiscence after laparoscopic hysterectomy and the psychological state of the patients. World J Psychiatry 2025; 15(2): 100062 [DOI: 10.5498/wjp.v15.i2.100062]
Corresponding Author of This Article
Yao Shi, Associate Chief Physician, Department of Gynecology and Obstetrics, Yuyao People’s Hospital, No. 800 Chengdong Road, Fengshan Street, Yuyao 315400, Zhejiang Province, China. shiyao0810@163.com
Research Domain of This Article
Obstetrics & Gynecology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Psychiatry. Feb 19, 2025; 15(2): 100062 Published online Feb 19, 2025. doi: 10.5498/wjp.v15.i2.100062
Factors influencing vaginal cuff dehiscence after laparoscopic hysterectomy and the psychological state of the patients
Lan-Ying Wang, Qi-Qin Wang, Jia-Nan Xu, Si-Yuan Wang, Yao Shi
Lan-Ying Wang, Qi-Qin Wang, Jia-Nan Xu, Si-Yuan Wang, Yao Shi, Department of Gynecology and Obstetrics, Yuyao People’s Hospital, Yuyao 315400, Zhejiang Province, China
Author contributions: Wang LY designed the research and wrote the first manuscript; Wang LY, Wang QQ, Xu JN, Wang SY and Shi Y contributed to conceiving the research and analyzing data; Wang LY and Shi Y conducted the analysis and provided guidance for the research; all authors reviewed and approved the final manuscript.
Institutional review board statement: This study was approved by the Ethic Committee of Yuyao People’s Hospital.
Informed consent statement: The study waived informed consent.
Conflict-of-interest statement: There is no conflict of interest.
Data sharing statement: No additional data are available.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yao Shi, Associate Chief Physician, Department of Gynecology and Obstetrics, Yuyao People’s Hospital, No. 800 Chengdong Road, Fengshan Street, Yuyao 315400, Zhejiang Province, China. shiyao0810@163.com
Received: October 9, 2024 Revised: November 9, 2024 Accepted: December 16, 2024 Published online: February 19, 2025 Processing time: 97 Days and 0.5 Hours
Abstract
BACKGROUND
Despite laparoscopic total hysterectomy provided more benefits to patients and has become one of the most commonly used surgical methods for total hysterectomy. However, vaginal cuff dehiscence is a serious complication after laparoscopic total hysterectomy and so far, there are limited studies on vaginal cuff dehiscence after a total hysterectomy.
AIM
To investigate the factors influencing vaginal cuff dehiscence after laparoscopic hysterectomy and the psychological state of the patients.
METHODS
This study retrospectively, univariately, and multivariately analyzed the clinical data of patients who experienced vaginal cuff dehiscence after laparoscopic hysterectomy in Yuyao People’s Hospital from January 2015 to December 2021. Logistic regression was utilized to analyze the high-risk factors of vaginal cuff dehiscence.
RESULTS
Among 1459 cases with laparoscopic hysterectomy, 9 reported vaginal cuff dehiscence postoperatively, with an incidence of 0.617%. Univariate logistic regression analysis revealed that preoperative hemoglobin value [odds ratio (OR) = 5.12, P = 0.016], vaginal cuff suture method (OR = 0.26, P = 0.048), and postoperative first sexual lifetime (OR = 15.86, P = 0.002) were associated with vaginal cuff dehiscence following laparoscopic hysterectomy. Multivariate logistic regression analysis revealed that preoperative hemoglobin value of < 90 g/L (OR = 5.17, P = 0.015) and time interval between postoperative first sexual life and operation of < 3 months (OR = 54.00, P = 0.004) are independent risk factors for vaginal cuff dehiscence after laparoscopic hysterectomy.
CONCLUSION
Postoperative hemoglobin and the time interval between postoperative first sexual life and operation were the independent factors of developing vaginal cuff dehiscence after laparoscopic hysterectomy.
Core Tip: Laparoscopic total hysterectomy has been widely utilized in the clinic, which has the advantages of minimally invasive techniques. However, vaginal cuff dehiscence is a serious complication after laparoscopic total hysterectomy. This study aims to investigate the factors influencing vaginal cuff dehiscence after laparoscopic hysterectomy and the psychological state of the patients.
