Fertility and sterility · 2011
New treatment option for early spontaneous rupture of a postmyomectomy gravid uterus.
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Gerli Sandro, Baiocchi Gabriela, Favilli Alessandro, Di Renzo Gian Carlo
Аннотация
OBJECTIVE: To report the successful treatment of a postmyomectomy, early uterine rupture with the use of a Bakri balloon.
DESIGN: Case report.
SETTING: University hospital, department of obstetrics and gynecology.
PATIENT(S): A 32-year-old patient, gravida 1, at 19 weeks' gestation, with postmyomectomy spontaneous uterine rupture and concurrent uterine atony.
INTERVENTION(S): Laparotomy was done because of massive hemoperitoneum. A Bakri balloon was inserted, and a two-layer suture of the uterine defect was performed.
MAIN OUTCOME MEASURE(S): Possibility of controlling hemorrhage and avoiding hysterectomy.
RESULT(S): Contemporary surgical sutures and insertion of a Bakri balloon were effective at controlling hemorrhage. The uterus was preserved.
CONCLUSION(S): The use of a Bakri balloon, combined with traditional surgical techniques, is described as a new method to successfully treat hemorrhage in the case of early spontaneous uterine rupture. In this case, hysterectomy was also avoided.
DESIGN: Case report.
SETTING: University hospital, department of obstetrics and gynecology.
PATIENT(S): A 32-year-old patient, gravida 1, at 19 weeks' gestation, with postmyomectomy spontaneous uterine rupture and concurrent uterine atony.
INTERVENTION(S): Laparotomy was done because of massive hemoperitoneum. A Bakri balloon was inserted, and a two-layer suture of the uterine defect was performed.
MAIN OUTCOME MEASURE(S): Possibility of controlling hemorrhage and avoiding hysterectomy.
RESULT(S): Contemporary surgical sutures and insertion of a Bakri balloon were effective at controlling hemorrhage. The uterus was preserved.
CONCLUSION(S): The use of a Bakri balloon, combined with traditional surgical techniques, is described as a new method to successfully treat hemorrhage in the case of early spontaneous uterine rupture. In this case, hysterectomy was also avoided.