Treatment strategy for failed repair of uterine rupture: Cleansing an abscess via the cervical Canal.
conservative treatment
failure of repair
next pregnancy
uterine artery embolization
uterine rupture
Journal
The journal of obstetrics and gynaecology research
ISSN: 1447-0756
Titre abrégé: J Obstet Gynaecol Res
Pays: Australia
ID NLM: 9612761
Informations de publication
Date de publication:
Jul 2020
Jul 2020
Historique:
received:
27
02
2020
revised:
19
03
2020
accepted:
09
04
2020
pubmed:
16
5
2020
medline:
22
6
2021
entrez:
16
5
2020
Statut:
ppublish
Résumé
We present a new, conservative treatment strategy for the cases in which an initial repair surgery of uterine rupture failed. In a case presented here, the patient underwent a repair surgery for the uterine rupture that became apparent 4 days after the cesarean delivery, but a part of the wound did not heal and an abscess formed in the surrounding area. The patient had purulent discharge from vagina, which led us to try to insert a Nelaton tube from vagina via cervical canal and to cleanse the abscess cavity. This procedure was successful and the abscess disappeared 38 days later, allowing the healing of the ruptured wound. The patient could deliver a baby 2 years later. Even if the initial repair treatment fails, a possibility of preserving the uterus should be considered for next pregnancy. One of the concrete treatment strategies for this purpose was presented.
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
1207-1210Informations de copyright
© 2020 Japan Society of Obstetrics and Gynecology.
Références
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Maassen MS, Lambers MDA, Tutein Nolthenius RP, Van der Valk PHM, Elgersma OE. Complications and failure of uterine artery embolization for intractable postpartum haemorrhage. BJOG 2009; 116: 55-61.
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