Sonographically Diagnosed Vault Hematomas Following Vaginal Hysterectomy and Its Correlation with Postoperative Morbidity
2007

Vault Hematomas After Vaginal Hysterectomy

Sample size: 103 publication Evidence: moderate

Author Information

Author(s): Dane Cem, Banu Cetin, Ahmet Yayla, Murat

Primary Institution: Haseki Training and Research Hospital

Hypothesis

The study aims to investigate the incidence of sonographically detectable vault hematomas after vaginal hysterectomy and its relation to postoperative morbidity.

Conclusion

Sonographic detection of vaginal vault fluid collection is common after hysterectomy, but such a finding rarely indicates additional treatment.

Supporting Evidence

  • 19.4% of women had a vaginal vault hematoma.
  • 40% of patients with vault hematoma experienced febrile morbidity.
  • 70% of women with vault hematoma had small-sized hematomas.

Takeaway

After a surgery called vaginal hysterectomy, some women can have fluid collections called hematomas, but most of the time, they don't need extra treatment.

Methodology

The study was a prospective-observational study involving 103 women who underwent vaginal hysterectomy, with transabdominal ultrasound examinations performed postoperatively to assess vault hematomas.

Limitations

The small number of patients with vault hematoma limited the statistical significance of febrile morbidity findings.

Participant Demographics

Mean age of participants was 52.32 years.

Statistical Information

P-Value

<0.005

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1155/2007/91708

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