An old uterine rupture repaired 2 months postpartum using laparoscopy aided by hysteroscopy: A case report

Yuichiro Kizaki, Kouki Samejima, Shigetaka Matsunaga, Tomonori Nagai, Yasushi Takai
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引用次数: 1

Abstract

With an incidence of 0.005%, unscarred uterine rupture is extremely rare. It is difficult to diagnose uterine rupture because of the absence of characteristic clinical symptoms. Here, we report a rare case of a 31-year-old woman with a uterine rupture that was accurately diagnosed and repaired by laparoscopy and hysteroscopy on postpartum day 69. The patient recovered uneventfully and was discharged on postoperative day 4. Three months after surgery, pelvic magnetic resonance imaging was performed, which confirmed wound repair. In women with a stable condition, laparoscopy with hysteroscopy could be an alternative choice for the diagnosis and treatment of suspected uterine rupture; however, more substantial studies are needed to confirm this surgical approach.

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产后2月腹腔镜辅助宫腔镜修复旧旧性子宫破裂1例
无疤痕子宫破裂的发生率为0.005%,极为罕见。由于没有特征性的临床症状,子宫破裂的诊断比较困难。在此,我们报告一例罕见的31岁女性子宫破裂,在产后第69天通过腹腔镜和宫腔镜准确诊断并修复。患者顺利恢复,术后第4天出院。术后3个月行盆腔磁共振成像,证实伤口修复。对于病情稳定的妇女,腹腔镜联合宫腔镜可作为诊断和治疗怀疑子宫破裂的替代选择;然而,需要更多的实质性研究来证实这种手术入路。
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来源期刊
Laparoscopic Endoscopic and Robotic Surgery
Laparoscopic Endoscopic and Robotic Surgery minimally invasive surgery-
CiteScore
1.40
自引率
0.00%
发文量
32
期刊介绍: Laparoscopic, Endoscopic and Robotic Surgery aims to provide an academic exchange platform for minimally invasive surgery at an international level. We seek out and publish the excellent original articles, reviews and editorials as well as exciting new techniques to promote the academic development. Topics of interests include, but are not limited to: ▪ Minimally invasive clinical research mainly in General Surgery, Thoracic Surgery, Urology, Neurosurgery, Gynecology & Obstetrics, Gastroenterology, Orthopedics, Colorectal Surgery, Otolaryngology, etc.; ▪ Basic research in minimally invasive surgery; ▪ Research of techniques and equipments in minimally invasive surgery, and application of laparoscopy, endoscopy, robot and medical imaging; ▪ Development of medical education in minimally invasive surgery.
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