Rectal injury associated with insertion of a vaginal delineator tube during total laparoscopic hysterectomy: A case report and review of the literature

We present a case of rectal injury during total laparoscopic hysterectomy (TLH) associated with placement of a vaginal delineator tube. The patient was a 43-year-old virgin woman who presented with hypermenorrhea secondary to a large submucosal leiomyoma and underwent TLH. On insertion of a vaginal...

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Bibliographic Details
Main Authors: Satoshi Asai (Author), Hitoshi Ishimoto (Author), Satsuki Okuno (Author), Akira Yabuno (Author), Hironori Asada (Author), Bao-Liang Lin (Author)
Format: Book
Published: Wolters Kluwer Medknow Publications, 2014-05-01T00:00:00Z.
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Summary:We present a case of rectal injury during total laparoscopic hysterectomy (TLH) associated with placement of a vaginal delineator tube. The patient was a 43-year-old virgin woman who presented with hypermenorrhea secondary to a large submucosal leiomyoma and underwent TLH. On insertion of a vaginal delineator tube, the boundary between the posterior vaginal fornix and the rectum was misjudged and the rectum was cut. The patient subsequently required transvaginal repair and a temporary ileostomy. With more widespread use of a vaginal delineator tube in TLH, sharing this rare experience with our colleagues will minimize such a complication.
Item Description:2213-3070
10.1016/j.gmit.2014.02.003