{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T23:34:21Z","timestamp":1792193661209,"version":"4.4.0"},"reference-count":19,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2013,6,22]],"date-time":"2013-06-22T00:00:00Z","timestamp":1371859200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2015,9,1]],"date-time":"2015-09-01T00:00:00Z","timestamp":1441065600000},"content-version":"tdm","delay-in-days":801,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["ijgo.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2013,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the incidence of vaginal cuff dehiscence (VCD) among women undergoing hysterectomy according to clinico\u2010surgical factors including surgical route, and to describe patient characteristics associated with VCD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In a retrospective study, the medical records of all women who underwent hysterectomy between January 2005 and March 2011 at a university teaching hospital in Seoul, Republic of Korea, were reviewed. The incidence of VCD was determined in relation to the following factors: patient age, hysterectomy route, indication for hysterectomy, and extent of resection (either simple or radical hysterectomy).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 9973 hysterectomies, 37 (0.37%) cases of VCD were identified. The incidence of VCD was significantly higher after abdominal hysterectomy (0.6%) than after laparoscopic (0.2%) or vaginal (0.4%) hysterectomy (<jats:italic>P<\/jats:italic> = 0.016). Compared with laparoscopic approaches, abdominal hysterectomy was associated with a higher risk of VCD (odds ratio, 2.735; 95% confidence interval, 1.380\u20135.420). However, there was no significant difference in the incidence of VCD according to surgical indication or extent of resection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Laparoscopic hysterectomy was found to be associated with a lower risk of VCD compared with abdominal hysterectomy. The lower risk is probably related to the different techniques used for colpotomy and cuff closure.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2013.04.004","type":"journal-article","created":{"date-parts":[[2013,6,22]],"date-time":"2013-06-22T07:02:39Z","timestamp":1371884559000},"page":"248-252","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":20,"title":["Vaginal cuff dehiscence after hysterectomy"],"prefix":"10.1002","volume":"122","author":[{"given":"Yu\u2010Jin","family":"Koo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dae\u2010Yeon","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jong\u2010Hyeok","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong\u2010Man","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young\u2010Tak","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joo\u2010Hyun","family":"Nam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,6,22]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181af36e3"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2011.08.026"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1590\/S1807-59322010000500015"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2005.08.009"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2011.05.013"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31822f1c92"},{"key":"e_1_2_6_8_2","volume-title":"TeLinde's Operative Gynecology","author":"Te Linde R.W.","year":"2003"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000115507.26155.45"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2006.11.005"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(94)90306-9"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006254-200207000-00023"},{"issue":"3","key":"e_1_2_6_13_2","first-page":"225","article-title":"Vaginal evisceration: presentation and management in postmenopausal women","volume":"183","author":"Kowalski L.D.","year":"1996","journal-title":"J Am Coll Surg"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1006\/gyno.1998.5294"},{"issue":"5","key":"e_1_2_6_15_2","doi-asserted-by":"crossref","first-page":"859","DOI":"10.1016\/S0029-7844(99)00530-X","article-title":"Vaginal evisceration after hysterectomy in premenopausal women","volume":"94","author":"Cardosi R.J.","year":"1999","journal-title":"Obstet Gynecol"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1006\/gyno.2002.6658"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.3802\/jgo.2009.20.1.63"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2009.12.009"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-8258(03)00153-7"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/IGC.0b013e3181e9d09b"}],"container-title":["International Journal of Gynecology &amp; 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