Vaginal cuff

Vaginal cuff is a term used in gynecology to describe the closure made at the top of the vagina following a hysterectomy. The vaginal cuff is created by suturing together the edges of the surgical site where the uterus was attached. This procedure is performed to prevent complications such as vaginal cuff dehiscence and vaginal cuff cellulitis.

Anatomy

The vaginal cuff is located at the apex of the vagina, where the cervix was previously attached. It is composed of the upper portion of the vagina and the surrounding connective tissue. The vaginal cuff is typically 2-3 cm in length, but this can vary depending on the individual's anatomy and the surgical technique used.

Surgical Procedure

During a hysterectomy, the uterus is detached from the vagina, leaving an open surgical site. This site is then closed by suturing together the edges to form the vaginal cuff. The sutures used can be either absorbable or non-absorbable, depending on the surgeon's preference and the patient's individual circumstances. The procedure can be performed using a variety of surgical techniques, including laparoscopic surgery, robotic surgery, and vaginal surgery.

Complications

Complications associated with the vaginal cuff include vaginal cuff dehiscence, where the sutures fail and the cuff opens, and vaginal cuff cellulitis, an infection of the cuff. Other potential complications include hematoma, abscess formation, and fistula development. These complications can be managed with a combination of medical and surgical treatments.

Postoperative Care

Following a hysterectomy, patients are advised to avoid sexual intercourse, heavy lifting, and vigorous physical activity for a period of six weeks to allow the vaginal cuff to heal. Regular follow-up appointments are also necessary to monitor the healing process and to detect any potential complications early.

See Also

• Hysterectomy
• Vaginal cuff dehiscence
• Vaginal cuff cellulitis