Laparoscopic management of suspected vault recurrence following staging surgery of endometrial cancer

Abstract

Background: Postoperative issues with the vaginal vault after hysterectomy for benign or malignant conditions are not common. Howeverthese include vault hematoma, granuloma, keloid, incisional hernia, vascular formation, and recurrence of pelvic malignancy at the vault. Case description: A 47-year-old woman with a history of breast cancer surgery under tamoxifen developed endometrial carcinoma stage 1 for which she underwent staging laparoscopy 1 year ago. She presented with a vaginal cuff tumor of 3 cm detected vaginally 3 months latewhich was suspicious of recurrence. Laparoscopic management was done and circumferential excision of vaginal cuff margin and repair was done. The final pathology report revealed infection and granulation tissue in the excised margin. Conclusion: Management of vaginal cuff complications following hysterectomy can be feasible by minimally invasive surgery regardless oindication of primary surgery.