SUMMARY
Vaginal cuff dehiscence is a rare complication after hysterectomy. Recent reviews describe a disproportionate number of vaginal cuff dehiscence occurring after total laparoscopic hysterectomy, suggesting that vaginal cuff dehiscence may be a more common complication of laparoscopic hysterectomy than vaginal hysterectomy. We describe three cases of vaginal cuff dehiscence after laparoscopic hysterectomy. Total laparoscopic hysterectomy may be associated with increased risk of vaginal cuff dehiscence and small bowel evisceration , which is be caused from a thermal spread and cuff tissue damage from electro-knife used for colpotomy. Method of cuff suturing also may be associated with cuff dehiscence.