Sonographc assessment of the vaginal vault following hysterectomy

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Abstract
Objective. A prospective study to determine the sonographic appearance of the vaginal vault following hysterectomy.Methods. A transvaginal sonographic examination of the vaginal vault on the third postoperative day. Follow‐up to determine the incidence of postoperative morbidity.Results. An accurate sonographic examination of the vaginal vault was possible in 66/71 cases (92.9%). Fluid collections were visible in 28/66 cases (42.4%), and measured up to 41.1 cm2 in the transverse plane and 30.2 cm2 in the sagittal plane. There was no correlation between the presence of a collection and indices of postoperative morbidity.Conclusion. Collections of fluid at the vaginal vault are common after hysterectomy, but do not usually contribute to postoperative morbidity.