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Surgery may be useful if certain underlying problems are present. [2] Estimates of the percentage of female adolescents and women of reproductive age affected are between 50% and 90%. [4] [6] It is the most common menstrual disorder. [2] Typically, it starts within a year of the first menstrual period. [1]
Vaginal evisceration is a serious complication of dehiscence (where a surgical wound reopens after the procedure), which can be due to trauma. [1] 63% of reported cases of vaginal evisceration follow a vaginal hysterectomy (where the uterus removal surgery is performed entirely through the vaginal canal). [2]
Many such defects may arise after hysterectomy because surgical adhesions in the pelvis may occur with scarring after the surgery. [20] Without treatment, over time the patient needs to strain more, or use digitations more. This slowly leads to worsening of the anatomic defects. For example, the bends in the bowel may become more acute, and ...
The best available data are from a study describing the frequency and outcome of laparoscopy in women with chronic pelvic pain and/or a pelvic mass who were found to have ovarian remnants. In 119 women who underwent hysterectomy and oophorectomy by laparoscopy, ovarian remnants were known in 5 and were found during surgery in 21 patients (18% ...
Those with severe ischemia who develop complications such as sepsis, intestinal gangrene, or bowel perforation may require more aggressive interventions, such as surgery and intensive care. Most patients make a full recovery; occasionally, after severe ischemia, patients may develop long-term complications such as a stricture [49] or chronic ...