Delivery after repeated reconstructive plastic surgery on the uterus
- Авторлар: Barinov S.V.1, Tirskaya Y.I.1, Lazareva O.V.1, Kadtsyna T.V.1, Chulovsky Y.I.1, Kovaleva Y.A.2
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Мекемелер:
- Omsk State Medical University, Ministry of Health of Russia
- Omsk Regional Clinical Hospital
- Шығарылым: № 4 (2024)
- Беттер: 162-167
- Бөлім: Clinical Notes
- URL: https://journals.eco-vector.com/0300-9092/article/view/632163
- DOI: https://doi.org/10.18565/aig.2024.3
- ID: 632163
Дәйексөз келтіру
Аннотация
Relevance: The frequency of congenital uterine malformations ranges from 4 to 10%. These malformations are characterized by morphological and functional inferiority of the organ, which contributes to the difficulty in the processes of implantation and placentation, causing infertility, miscarriage, abnormal variants of placentation.
Case report: The article presents an obstetric history of the course of three pregnancies of a patient with a bicornuate uterus: the first two pregnancies resulted in premature termination due to premature placental separation and premature rupture of the membranes complicated by chorioamnionitis and placenta increta; besides, the patient had cervical incompetence. The effectiveness of using a two-balloon Zhukovsky catheter in combination with a hemostatic suture in the patient at risk for obstetric bleeding during delivery was shown.
Conclusion: Repeated reconstructive plastic surgery on the uterus with the restoration of the normal anatomy of the uterine cavity, timely treatment of cervical incompetence made it possible to carry the third pregnancy. Successful delivery using a two-balloon Zhukovsky catheter in combination with a hemostatic suture gave a chance to complete the pregnancy and perform an organ-sparing operation.
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Авторлар туралы
Sergey Barinov
Omsk State Medical University, Ministry of Health of Russia
Хат алмасуға жауапты Автор.
Email: barinov_omsk@mail.ru
ORCID iD: 0000-0002-0357-7097
Dr. Med. Sci., Professor, Head of the Department of Obstetrics and Gynecology No. 2
Ресей, OmskYuliya Tirskaya
Omsk State Medical University, Ministry of Health of Russia
Email: yulia.tirskaya@yandex.ru
ORCID iD: 0000-0001-5365-7119
Dr. Med. Sci., Associate Professor, Department of Obstetrics and Gynecology No. 2
Ресей, OmskOksana Lazareva
Omsk State Medical University, Ministry of Health of Russia
Email: lazow@mail.ru
ORCID iD: 0000-0002-0895-4066
PhD, Associate Professor, Department of Obstetrics and Gynecology No. 2
Ресей, OmskTat’yana Kadtsyna
Omsk State Medical University, Ministry of Health of Russia
Email: tatianavlad@list.ru
ORCID iD: 0000-0002-0348-5985
PhD, Associate Professor, Department of Obstetrics and Gynecology No. 2
Ресей, OmskYuriy Chulovsky
Omsk State Medical University, Ministry of Health of Russia
Email: akusheromsk@rambler.ru
ORCID iD: 0000-0003-2541-7091
PhD, Associate Professor, Department of Obstetrics and Gynecology No. 2
Ресей, OmskYulia Kovaleva
Omsk Regional Clinical Hospital
Email: kovalevajulia71@yandex.ru
ORCID iD: 0000-0002-3689-1357
obstetrician-gynecologist, Head of the Obstetric Department of Pregnancy Pathology
Ресей, OmskӘдебиет тізімі
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