Title: Conservative treatment of vaginal vault granulation tissue following total abdominal hysterectomy.

POPLINE Document Number: 135671

Author(s):

Saropala N
Ingsirorat C

Source citation:

International Journal of Gynecology and Obstetrics, 1998 Jul;62(1):55-8.

Abstract:

Vaginal vault granulation tissue, a common postoperative complication of total abdominal hysterectomy, is generally treated with cauterization with silver nitrate. A prospective study of 352 women who underwent total abdominal hysterectomy for benign conditions at Ramathibodi Hospital in Bangkok, Thailand, in 1995-96 investigated the incidence, symptoms, and spontaneous regression rate of vault granulation tissue in relation to lesion size. The overall incidence of vault granulation tissue in this series was 34%. 60% of the lesions were 5 mm or less in size. During the 20-week follow-up period, spontaneous regression occurred in 52% of cases. The rate of complete disappearance was 72% when the lesion was 5 mm or smaller compared with 33% when the lesion was larger than 5 mm (p < 0.001). Symptoms were experienced by 7% of patients in the former group and 18% in the latter group. These findings suggest that vault granulation lesions 5 mm in size or smaller should be treated conservatively with vault closure with synthetic polymer sutures rather than with the more invasive cauterization given the low incidence of symptoms and high likelihood of spontaneous regression.

Keywords:

Thailand
Research Report
Prospective Studies
Hysterectomy
Granulomas
Incidence
Treatment
Signs and Symptoms
Complications
Developing Countries
Asia, Southeastern
Asia
Studies
Research Methodology
Gynecologic Surgery
Urogenital Surgery
Surgery
Diseases
Measurement