JSLS : Journal of the Society of Laparoendoscopic Surgeons · 2019
Inadvertent Perforation of a Gravid Uterus During Laparoscopy.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Post Rebecca J, Friedrich Esther, Amaya Kevin E, Chmait Ramen H
Аннотация
BACKGROUND: Laparoscopic surgery is safe in pregnancy, but is not without risk. Inadvertent uterine perforation of the gravid uterus is a rare complication.
CASES: Three pregnant women had inadvertent uterine perforation during laparoscopic surgery. All patients were counseled regarding the risks of an "incidental fetoscopy" and elected to continue the pregnancy. Two delivered after preterm premature rupture of membranes at 32 and 36 weeks' gestation, and one twin pregnancy delivered at 30 weeks due to preeclampsia.
CONCLUSION: Surgical planning of the gravid patient undergoing laparoscopic surgery should include demarcation of the most superior aspect of the uterine fundus, either via physical examination or, if not conclusive, via preoperative or intraoperative ultrasound.
CASES: Three pregnant women had inadvertent uterine perforation during laparoscopic surgery. All patients were counseled regarding the risks of an "incidental fetoscopy" and elected to continue the pregnancy. Two delivered after preterm premature rupture of membranes at 32 and 36 weeks' gestation, and one twin pregnancy delivered at 30 weeks due to preeclampsia.
CONCLUSION: Surgical planning of the gravid patient undergoing laparoscopic surgery should include demarcation of the most superior aspect of the uterine fundus, either via physical examination or, if not conclusive, via preoperative or intraoperative ultrasound.
Предметные рубрики MeSH
AdultAppendectomyAppendicitisCesarean SectionCholecystectomy, LaparoscopicFemalePremature Rupture of Fetal MembranesHumansInfant, NewbornIntraoperative ComplicationsLaparoscopyObstetric Labor, PrematurePre-EclampsiaPregnancyPregnancy ComplicationsPregnancy OutcomePregnancy, MultipleUterine PerforationUterus