Hysterectomy in the setting of vaginal obliteration

Laparoscopic hysterectomy in the setting of vaginal obliteration can be challenging due to the lack of vaginal access and uterine manipulation. Several case reports have been previously published on pyometra after Le Fort colpocleisis, each resulting in exploratory laparotomy with hysterectomy. One prior case report has been published on a minimally invasive approach to hysterectomy after Le Fort colpocleisis; in this case, they were able to access the vagina through the previously created vaginal channels.
Source: American Journal of Obstetrics and Gynecology - Category: OBGYN Authors: Source Type: research