Postsurgical vaginal cuff anaerobic infections

Postsurgical vaginal cuff anaerobic infections are localized pelvic surgical site infections occurring at the surgical closure line of the upper vagina following a hysterectomy Arising within the female reproductive tract, these infections are typically polymicrobial and predominantly driven by endogenous vaginal anaerobic pathogens, such as *Bacteroides* species, *Prevotella* species, and *Peptostreptococcus* species, which infiltrate damaged or devitalized tissue after surgical disruption

Postsurgical vaginal cuff anaerobic infections are localized pelvic surgical site infections occurring at the surgical closure line of the upper vagina following a hysterectomy

Postsurgical vaginal cuff anaerobic infections are localized pelvic surgical site infections occurring at the surgical closure line of the upper vagina following a hysterectomy

Arising within the female reproductive tract, these infections are typically polymicrobial and predominantly driven by endogenous vaginal anaerobic pathogens, such as *Bacteroides* species, *Prevotella* species, and *Peptostreptococcus* species, which infiltrate damaged or devitalized tissue after surgical disruption

Pathophysiologically, the condition manifests as cellulitis or abscess formation at the vaginal apex and contiguous pelvic retroperitoneal spaces Clinically, affected patients present with localized vaginal cuff tenderness, induration, purulent or malodorous vaginal discharge, lower abdominal or pelvic pain, and systemic signs such as fever

Clinically, affected patients present with localized vaginal cuff tenderness, induration, purulent or malodorous vaginal discharge, lower abdominal or pelvic pain, and systemic signs such as fever