A rare case of asymptomatic rupture of the uterine horn in the full-term pregnancy as a consequence of laparoscopic salpingectomy

Trojanowski, Seweryn; Słomka, Anna; Stanirowski, Paweł Jan; Cendrowski, Krzysztof; Sawicki, Włodzimierz

doi:10.5603/gp.2016.0087

Cited by 2 publications

(1 citation statement)

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“…Despite the most common causes of UR, we have herein presented two cases of UR due to laparoscopic resection of a fallopian tube, which has rarely been documented. [17][18][19] Laparoscopic salpingectomy is currently the most effective treatment of fallopian pregnancy; nonetheless, thermal injury may cause weakening of the cornual portion. Additionally, salpingectomy was not routinely accompanied by suture closure.…”

Section: In 2010mentioning

confidence: 99%

Characteristics of uterine rupture after laparoscopic surgery of the uterus: clinical analysis of 10 cases and literature review

Jiang

et al. 2018

J Int Med Res

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ObjectiveAn increasing trend of uterine rupture (UR) after laparoscopic surgery of the uterus (LSU) has been observed. Although the overall incidence is extremely low, UR may have catastrophic outcomes. Therefore, investigation of its potential risk factors is important.MethodsWe retrospectively reviewed the medical data of 10 women who developed UR after LSU performed at our hospital from October 2003 to October 2016 and conducted a literature review.ResultsAll cases of UR occurred during the third trimester of pregnancy. The surgeries contributing to UR were laparoscopic myomectomy, adhesion decomposition, and salpingectomy, resulting in unfavorable outcomes especially for the fetus. Diathermy was routinely used for hemostasis, and multilayer suturing was not adequately performed in many cases. The posterior wall was the most common site of UR in most cases. Silent rupture with unremarkable symptoms was not rare. Similar risk factors were identified in the literature review.ConclusionsExcessive use of energy equipment and the lack of multilayer suturing were the most common characteristics of UR after LSU. A history of LSU should always be considered a risk factor for UR.

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Section: In 2010mentioning

confidence: 99%