急性感染情况下的阴道套裂（VCD）是全子宫切除术的一种罕见但严重的并发症，没有明确的治疗指南。需要进一步记录有关治疗的最佳实践，特别是在手术引流管的使用和放置方面。我们介绍了一名 68 岁原发性腹膜癌患者的病例，他接受了机器人辅助全腹腔镜子宫切除术，作为部分手术的一部分接受了间歇性减瘤手术并拥有 VCD。在手术室中通过放置 Malecot 导管进行阴道修复套囊，用于盆腔脓肿引流。有关 VCD 治疗的明确指南的文献很少。手术和期待治疗方法取决于患者的稳定性、手术经验、当地实践规范和腹内损伤的证据。介入放射学已成为 VCD 和阴道套囊脓肿治疗中引流放置的主要来源。 Malecot 引流管是一种低成本且有效的治疗干预措施，也是妇科医生的重要资源。© 2024 作者。由爱思唯尔公司出版

Vaginal cuff dehiscence (VCD) in the setting of acute infection is an uncommon but serious complication of total hysterectomy without clear guidelines for management. There is a need for further documentation of best practices around treatment, particularly when it comes to surgical drain utilization and placement.We present a case of a 68-year-old with primary peritoneal carcinoma who underwent a robot-assisted total laparoscopic hysterectomy as part of an interval debulking surgery and had a VCD. The cuff was repaired vaginally in the operating room with placement of a Malecot catheter for pelvic abscess drainage.The literature is sparse in regard to clear guidelines for management of VCD. Surgical and expectant management approaches are dependent on patient stability, surgical experience, local practice norms, and evidence of intra-abdominal injury. Interventional radiology has become a primary source of drain placement in management of VCD and vaginal cuff abscess. Malecot drains are a low cost, and effective intervention for such management and an important resource for the gynecologic surgeon.© 2024 The Authors. Published by Elsevier Inc.