ORIGINAL TECHNIQUES FOR NICHE CORRECTION AFTER TWO CESAREAN SECTIONS


Дәйексөз келтіру

Толық мәтін

Ашық рұқсат Ашық рұқсат
Рұқсат жабық Рұқсат берілді
Рұқсат жабық Рұқсат ақылы немесе тек жазылушылар үшін

Аннотация

Background. It is important to develop new methods for correcting the postoperative uterine scar niche after cesarean section. Case report. The paper describes a case of a 27-year-old patient with a history of two previous caesarean sections. Transvaginal ultrasound and MRIrevealed two postcesarean uterine scar defects at different levels: in the isthmus area and at 15 mm above the level of 17.0 and 13.6 mm internal orifices with the residual myometrial thickness above the defect being 2.6 and 2.9 mm, respectively. Laparoscopy was performed. The special feature of the operation was to locate a thinned uterine scar, by using the original technique for transilluminating the scar area with a LED fiber-optic stent. This technique involved transillumination using a fiber-optic catheter connected to a light source in order to locate the area of a thinned uterine scar without the need for preliminary hysteroscopic imaging. Conclusion. A laparoscopic approach can be considered as the procedure of choice for the repair of a large myometrial defect with residual myometrial thinning in the presence of more than one inconsistent uterine scar.

Толық мәтін

Рұқсат жабық

Авторлар туралы

Vitaly Reznik

Saint Petersburg State Pediatric Medical University, Ministry of Health of Russia

Email: vitaliy-reznik@mail.ru
PhD, Associate Professor, Department of Obstetrics and Gynecology, Chief Physician of the Clinic 194100, Russia, Saint Petersburg, Litovskaya str., 2

Anna Malysheva

Saint Petersburg State Pediatric Medical University, Ministry of Health of Russia

Email: malisheva.anyuta@yandex.ru
Gynecologist, Department of Obstetrics and Gynecology 194100, Russia, Saint Petersburg, Litovskaya str., 2

Valeriy Matukhin

Saint Petersburg State Pediatric Medical University, Ministry of Health of Russia

Email: val-matukhin@mail.ru
graduate student, Department of Obstetrics and Gynecology 194100, Russia, Saint Petersburg, Litovskaya str., 2

Nikolai Rukhliada

Saint Petersburg State Pediatric Medical University, Ministry of Health of Russia

Email: nickolasr@mail.ru
MD, PhD, Dr. Med. Sci., Professor, Head of the Department of Obstetrics and Gynecology 194100, Russia, Saint Petersburg, Litovskaya str., 2

Anna Taits

Saint Petersburg State Pediatric Medical University, Ministry of Health of Russia

Email: annataitsl@rambler.ru
MD, PhD, Assistant Professor, Department of Obstetrics and Gynecology 194100, Russia, Saint Petersburg, Litovskaya str., 2

Әдебиет тізімі

  1. Nezhat C., Grace L., SoliemannjadR., Razavi G.M., Nezhat A. Cesarean scar defect: What is it and how should it be treated? OBG Management. 2016; 28(4): 32-8.
  2. Demers S., Roberge S., Bujold E. Laparoscopic repair of post-cesarean uterine scar defect. J. Minim. Invasive Gynecol. 2013; 20(4): 537. https://dx.doi.org/10.1016/j. jmig.2013.04.010.
  3. Dodd J.M., Anderson E.R., Gates S., Grivell R.M. Surgical techniques for uterine incision and uterine closure at the time of caesarean section. Cochrane Database Syst. Rev. 2014; (7): CD004732. https:/dx./doi.org/10.1002/14651858.CD004732. pub3.
  4. Fabres C., Aviles G., De La Jara C., Escalona J., Munoz J.F., Mackenna A. et al. The cesarean delivery scar pouch. Clinical implications and diagnostic correlation between transvaginal sonography and hysteroscopy. J. Ultrasound Med. 2003; 22(7): 695-700. https://dx.doi.org/10.7863/jum.2003.22.7.695.
  5. Klemm P., Koehler C., Mangler M., Schneider U., Schneider A. Laparoscopic and vaginal repair of uterine scar dehiscence following cesarean section as detected by ultrasound. J. Perinat. Med. 2005; 33(4): 324-31. https://dx.doi.org/10.1515/ JPM.2005.058.
  6. Osser O.V., Jokubkiene L., Valentin L. High prevalence of defects in Cesarean section scars at transvaginal ultrasound examination. Ultrasound Obstet. Gynecol. 2009; 34(1): 90-7. https://dx.doi.org/10.1002/uog.6395.
  7. ParkI.Y., Kim M.R., LeeH.N., Gen Y., Kim M.J. Risk factors for Korean women to develop an isthmocele after a cesarean section. BMC Pregnancy Childbirth. 2018; 18(1): 162. https://dx.doi.org/10.1186/s12884-018-1821-2.
  8. Stegwee S.I., Jordans I.P.M., van der Voet L.F., Bongers M.Y., de Groot C.J.M., Lambalk C.B. et al. Single- versus double-layer closure of the caesarean (uterine) scar in the prevention of gynaecological symptoms in relation to niche development - the 2Close study: a multicentre randomised controlled trial. BMC Pregnancy Childbirth. 2019; 19(1): 85. https://dx.doi.org/10.1186/s12884-019-2221-y.
  9. Малышева А.А., Матухин В.И., Резник В.А., Рухляда Н.Н., Тайц А.Н. Опыт оперативной коррекции несостоятельного рубца на матке после кесарева сечения на этапе прегравидарной подготовки. Проблемы репродукции. 2018; 24(6): 46-50
  10. Szkodziak P., Stgpniak A., Czuczwar P., Szkodziak F., Paszkowski T., Wozniak S. Is it necessary to correct a caesarean scar defect before a subsequent pregnancy? A report of three cases. J. Int. Med. Res. 2019; 47(5): 2248-55. https://dx.doi. org/10.1177/0300060519835068.
  11. Abalos E., Oyarzun E., Addo V., Sharma J.B., Matthews.J, Oyieke J. et al.; The CORONIS Collaborative Group. CORONIS - International study of caesarean section surgical techniques: the follow-up study. BMC Pregnancy Childbirth. 2013; 13: 215. https://dx.doi.org/10.1186/1471-2393-13-215.
  12. Van der Voet L.F., Bij de Vaate A.M., Veersema S., Brolmann H.A., Huirne J.A. Long-term complications of caesarean section. The niche in the scar: a prospective cohort study on niche prevalence and its relation to abnormal uterine bleeding. BJOG. 2014; 121(2): 236-44. https://dx.doi.org/10.1111/1471-0528.12542.
  13. Van der Voet L.F., Vervoort A.J., Veersema S., BijdeVaate A.J., Brolmann H.A., Huirne J.A. Minimally invasive therapy for gynaecological symptoms related to a niche in the caesarean scar: a systematic review. BJOG. 2014; 121(2): 145-56. https://dx.doi.org/10.1111/1471-0528.12542.
  14. Schepker N., Garcia-Rocha G.J., von Versen-Hoynck F., Hillemanns P., Schippert C. Clinical diagnosis and therapy of uterine scar defects after caesarean section in non-pregnant women. Arch. Gynecol. Obstet. 2015; 291(6): 1417-23. https:// dx.doi.org/10.1007/s00404-014-3582-0.

Қосымша файлдар

Қосымша файлдар
Әрекет
1. JATS XML
Жүктеу

© Bionika Media, 2021

Осы сайт cookie-файлдарды пайдаланады

Біздің сайтты пайдалануды жалғастыра отырып, сіз сайттың дұрыс жұмыс істеуін қамтамасыз ететін cookie файлдарын өңдеуге келісім бересіз.< / br>< / br>cookie файлдары туралы< / a>