Vaginal-cuff dehiscence and evisceration is defined as partial or total separation of the vaginal cuff from the protrusion of intraabdominal content, which are generally small intestinal segments. We aimed to report a case of vaginal-cuff dehiscence after robotic laparoscopic surgery for urinary bladder malignancy and its management. A 71-year-old multiparous woman with a medical history of osteoporosis and a previous surgery for umbilical herniation presented with vaginal-cuff dehiscence 8 months after her urothelial carcinoma of the urinary bladder was surgically treated, which was followed by ongoing chemotherapy. To avoid potential complications and owing to the failure of manual reduction of the eviscerated segments, the patient underwent emergency laparotomy. The vaginal cuff was closed with coated absorbable no. 1 polyglactin sutures. This case of vaginal-cuff dehiscence after robotic laparoscopic surgery for urinary bladder malignancy adds to our knowledge of the clinical presentation and management of this condition.
Keywords: Vaginal-cuff dehiscence, evisceration, laparoscopic surgery, urothelial carcinoma