Laparoscopic correction of isthmocele combined with ventrosuspensios of uterus

Czech version

Authors: K. Šubová ¹; Martin Němec ¹; R. Pilka ²
Authors‘ workplace: Gynekologicko-porodnické oddělení Nemocnice, Frýdek-Místek, primář MUDr. M. Němec ¹; Porodnicko-gynekologická klinika LF UP a FN, Olomouc, přednosta prof. MUDr. R. Pilka, Ph. D. ²
Published in: Ceska Gynekol 2020; 85(2): 104-110
Category: Case Report

Overview

Objective: To describe a case history of a patient after two caesarean sections, planning another pregnancy. Due to the dehiscent lower uterine segment, surgical correction of the defect was performed. Performance followed by an unplanned pregnancy five weeks after the operation.

Design: Case report.

Setting: Department of Obstetrics and Gynaecology, Hospital in Frýdek-Místek.

Case report: We present a case of a 31-year-old third-graders, anamnestically after two caesarean sections, which were performed laparoscopical correction of isthmocoele in our department. Our patient was diagnosed with six weeks old intrauterine pregnancy only eleven weeks after surgery. The gravidity was successfully completed in the 38th week of pregnancy by the planned caesarean section with finding of a solid lower uterine segment. Whole duration of the pregnancy was uncomplicated.

Conclusion: Women, after previous surgery of the uterus, are exposed to complications such as nidation disorders, placental disorders, risk of uterine rupture etc. during future pregnancy and childbirth. We want to show possible advantage of laparoscopic isthmocoele resection in combination with ventrosuspension of uterus.

Keywords:

isthmocoele – laparoscopy – caesarean section – uterine rupure

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