Delivery after repeated reconstructive plastic surgery on the uterus

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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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Sobre autores

Sergey Barinov

Omsk State Medical University, Ministry of Health of Russia

Autor responsável pela correspondência
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

Rússia, Omsk

Yuliya 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

Rússia, Omsk

Oksana 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

Rússia, Omsk

Tat’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

Rússia, Omsk

Yuriy 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

Rússia, Omsk

Yulia 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

Rússia, Omsk

Bibliografia

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