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  • Title: Prolapse of Filshie clips following vaginal hysterectomy.
    Author: Buckett W, Carlin A, Kingsland C.
    Journal: Acta Obstet Gynecol Scand; 1998 Apr; 77(4):471-2. PubMed ID: 9598965.
    Abstract:
    The medical literature includes more than 100 cases of prolapse of the fallopian tube, most of which were associated with vaginal hysterectomy. This article reports the first case of prolapse of Filshie clips after vaginal hysterectomy in a woman who had previously undergone laparoscopic sterilization. The 45-year-old patient reported irregular vaginal bleeding without pain in the 3 months following hysterectomy. The procedure had been complicated by a large vaginal vault hematoma. Clinical examination revealed 2 Filshie clips and part of the left fallopian tube at the vaginal vault, but no evidence of granulation tissue or fistulae. The clips were excised vaginally and the vault was closed. The patient's recovery was uneventful. Vaginal removal of Filshie clips is recommended at hysterectomy to prevent reperitonealization over the clips and their subsequent prolapse.
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