Review of vaginal cuff dehiscence after Wertheim-procedure in a 74-year-old woman

This publication is a case report and review of literature focusing on vaginal cuff dehiscence with evisceration occurring after a Wertheim-procedure. The specific case involved a 74-year-old woman, and the follow-up duration was 15 years. The setting of the case was not reported, nor were specific sample sizes beyond the single case provided. The primary outcome and secondary outcomes were not reported in the source text. Safety information indicates that the adverse event was vaginal cuff dehiscence with evisceration, which carries potentially lethal consequences. Tolerability and discontinuations were not reported. Funding or conflicts of interest were not reported.

The authors synthesize the condition's aetiology, clinical presentation, and precipitating factors to aid in risk identification. Because the source is a case report rather than a randomized trial or systematic review, causal language regarding the procedure's general risk is avoided. The review does not provide pooled effect sizes or confidence intervals as it is not a meta-analysis.

Limitations acknowledged include the lack of reported setting and the inherent limitations of a single-case narrative. The practice relevance emphasizes that healthcare professionals should recognize this rare but serious complication. The certainty of the findings is limited by the observational nature of the case report and the absence of comparative data or broader population statistics.