Emergency management station — vaginal cuff dehiscence with bowel evisceration after laparoscopic hysterectomy

Station brief

Format. Emergency management station, approximately 12 minutes. You are the gynaecology registrar covering the emergency department. The assessor will run the clock and feed you the next steps in management of a woman with vaginal cuff dehiscence and bowel evisceration five days after total laparoscopic hysterectomy.^[1]

Candidate instruction. Lead the resuscitation, plan the return to theatre, communicate with the patient and her support person, and structure the postoperative plan. Verbalise your actions, the named diagnosis, and the principles of cuff repair.^[1]