Laparotomic reposition of acute postpartal uterine inversion.

IF 0.5 Q4 OBSTETRICS & GYNECOLOGY Ceska Gynekologie-Czech Gynaecology Pub Date : 2023-01-01 DOI:10.48095/cccg202392
Monika Uhlířová, Michal Málek
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引用次数: 0

Abstract

Acute uterine inversion is a rare but one of the most serious complications of childbirth. This condition is defined as the collapse of the fundus into the uterine cavity. Maternal mortality and morbidity are reported to be 41%. In the management of uterine inversion, early dia-gnosis, anti-shock measures and attempting manual repositioning as soon as possible are important. If the initial manual repositioning fails, it is necessary to proceed with surgical intervention. Administration of uterotonic agents is recommended after successful reposition. This recommendation helps uterine contraction, thereby preventing recurrence of the inversion. If reposition is repeatedly unsuccessful, then a hysterectomy may be necessary. The aim of this paper is to present a case report from our department.

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急性产后宫内翻的剖腹复位。
急性子宫内翻是一种罕见但最严重的分娩并发症之一。这种情况被定义为眼底塌陷进入子宫腔。据报告,产妇死亡率和发病率为41%。在子宫内翻的处理中,早期诊断、抗休克措施和尽早尝试人工复位是很重要的。如果最初的手动复位失败,有必要进行手术干预。复位成功后,建议使用子宫舒张剂。这个建议有助于子宫收缩,从而防止子宫内翻的再次发生。如果反复复位不成功,则可能需要子宫切除术。这篇论文的目的是介绍我们系的一个病例报告。
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来源期刊
Ceska Gynekologie-Czech Gynaecology
Ceska Gynekologie-Czech Gynaecology OBSTETRICS & GYNECOLOGY-
CiteScore
0.60
自引率
25.00%
发文量
57
期刊最新文献
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