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Vault Haematoma after Vaginal Hysterectomy: An Invariable Sequel?
Author(s) -
Kuhn Raphael J. P.,
Crespigny Lachlan Ch.
Publication year - 1985
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1985.tb00605.x
Subject(s) - medicine , vault (architecture) , vaginal vault , hysterectomy , surgery , incidence (geometry) , vaginal vault prolapse , ultrasound , radiology , physics , structural engineering , optics , engineering
Summary: Fifty consecutive patients undergoing vaginal hysterectomy were studied prospectively by ultrasound to determine the incidence of vault haematoma and the relationship between its size and the development of postoperative pyrexia; 49 patients (98%) had a vault haematoma and 35 (70%) were febrile postoperatively. Large vault haematomas (mean diameter > 5 cm) were invariably associated with significant febrile morbidity, whilst 1 in 3 patients with a small haematoma was afebrile. Colporrhaphy did not influence the likelihood of haematoma formation.