PMC4919793_01
Vaginal herniation of intestinal content.
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The pelvic examination showed an evisceration of approximately 40 cm of small bowel through the vagina (Fig. 1).
Laparoscopic aspect of vaginal cuff dehiscence.
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Surgical packs were inserted in the vagina to maintain the pneumoperitoneum and helped us to trace a 5 cm horizontal dehiscence of the vaginal cuff (Fig. 2).
Suture of vaginal cuff and drainage.
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The vaginal cuff was mobilized laparoscopically, was closed with a running Vicryl absorbable suture without problem and was catheterized with a Kehr drain (Fig. 3). The operation was ended by a copious irrigation of the abdominal cavity.