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CASE: Three months after total vaginal hysterectomy and uterosacral ligament vaginal vault suspension, a woman complained of painless, intermittent vaginal discharge and spotting. Despite cauterization of granulation tissue, vaginal spotting persisted for another month. On re-examination, braided polyester suture that was found underlying the granulation tissue was removed.
Granulation tissue is new connective tissue and microscopic blood vessels that form on the surfaces of a wound during the healing process. Examples of granulation tissue can be seen in pyogenic granulomas and pulp polyps. Its histological appearance is characterized by proliferation of fibroblasts and new thin-walled, delicate capillaries angiogenesisinfiltrated inflammatory cells in a loose extracellular matrix.
There have been many reports in the literature on vaginal mesh erosion as a complication of pelvic floor reconstructive surgery. Several reports describe successful surgical excision of the exposed mesh as a resolution. However, in rare cases of mesh erosion, poor surgical outcomes and multiple resection failures have been reported. We describe an innovative surgical approach to persistent vaginal mesh erosion using CO 2 laser vaporization under colposcopic and laparoscopic guidance.
If you have a total or radical hysterectomyyour cervix and uterus will be removed. More extensive than a total hysterectomy, a radical hysterectomy also involves removal of the upper part of the vagina and additional tissue adjacent to the uterus. The top part of your vagina — where your upper vagina or cervix used to be — will be sewn together as part of this procedure.
Hysterectomy granulation also known as vaginal vault granulation is the growth of scar tissue at the top of the vagina when the cervix has been removed. If you were to see it, it might look like raw tissue and it might have raised nodules as well. The scar tissue from hysterectomy granulation occurs before the vaginal cuff that is left after the cervix is removed, has healed properly and means that the cut takes longer to heal than normal.
Project : Research project. Obstetrics and Gynecology. Description Project Abstract: Women who sustain obstetric lacerations are often treated with local vaginal estrogen by their obstetricians to facilitate healing.
Learn what granulation tissue is, why it forms and how to treat it if you notice it around your child's stoma. Granulation tissue also known as hypergranulation tissue is the new tissue that forms when a wound is healing. It is also the extra tissue that grows around the feeding tube.