Resection of the vaginal vault for vaginal recurrence of XXXX after hysterectomy and brachytherapy.

@entity1 @entity3556 @entity1494 @entity5 @entity190 @entity130
BACKGROUND: We describe our experiences with vaginal vault resection for vaginal recurrence of @entity5 after hysterectomy and radiotherapy. After operative treatment, the rate of vaginal vault recurrence of uterine @entity5 is reported to be about 5%. There is no consensus regarding the treatment for these cases. METHODS: Between 2004 and 2012, eight @entity1 with vaginal vault recurrence underwent removal of the vaginal wall via laparotomy after hysterectomy and radiotherapy. RESULTS: The median @entity1 age was 45 years (range 35 to 70 years). The median operation time was 244.5 min (range 172 to 590 min), the median estimated @entity190 was 362.5 mL (range 49 to 1,890 mL), and the median duration of hospitalization was 24.5 days (range 11 to 50 days). Two @entity1 had intraoperative complications: a grade 1 @entity130 and a grade 1 @entity1494 . The following postoperative complications were observed: one @entity1 had @entity3556 , three @entity1 developed vesicovaginal fistulae, and one @entity1 had repeated ileus. Two @entity1 needed clean intermittent catheterization. Local control was achieved in five of the eight cases. CONCLUSIONS: Vaginal vault resection is an effective treatment for vaginal recurrence of @entity5 after hysterectomy and radiotherapy. However, complications of this procedure can be expected to reduce quality of life. Therefore, this operation should be selected with great care.
