Work

Postoperative wound dehiscence and fistulas after short-interval hysterectomy following bariatric surgery

Year: 2026

Type: article

Abstract: Background: The effect of bariatric procedures on outcomes of gynecologic surgery is poorly defined. Case: A 47-year-old underwent a laparoscopic Roux-en-Y gastric bypass, followed seven weeks later by elective abdominal hysterectomy. An appendectomy was performed for appendiceal adhesions to the uterus and intraoperative cystoscopy was normal. The immediate postoperative course was unremarkable. Ten days later, she presented with a large pelvic abscess, dehiscence at the appendectomy site, vaginal cuff dehiscence, and bladder injury. Management included vaginal cuff repair, ileostomy, and cystorrhaphy. She then developed vesicovaginal fistula and superficial wound dehiscence, requiring prolonged hospitalization, total parenteral nutrition, and conservative management until resolution. Conclusion: Dehiscence and complex fistula formation are potential complications of gynecologic surgery performed during the rapid weight loss phase following bariatric surgery.

Source: BMC Women s Health

DOI: 10.1186/s12905-026-04933-x

Authors: Rachel Fleddermann, Tiffany Chang, Katherine Stansberry, Janifer Tropez, Amber Naresh

Institution: Tulane University

Language: English

Topic: Bariatric Surgery and Outcomes

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,890