Uterine Rupture During Labor in a Patient that Had Undergone Repetitive Uncomplicated Hysteroscopic Metroplasty
Hysteroscopic surgery when performed by a well-trained hysteroscopic surgeon is a safe procedure with an overall complication rate of 3%, and the complications comprise uterine perforation, excessive hemorrhage, air embolus, pulmonary edema, excessive glycine absorption, and infection. After hystero...
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| Main Authors: | , , , , |
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| Format: | Book |
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Medical Network,
2011-04-01T00:00:00Z.
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| Summary: | Hysteroscopic surgery when performed by a well-trained hysteroscopic surgeon is a safe procedure with an overall complication rate of 3%, and the complications comprise uterine perforation, excessive hemorrhage, air embolus, pulmonary edema, excessive glycine absorption, and infection. After hysteroscopic septum resection, a remnant uterine septum might be visualized on control hysterosalpingography or control hysteroscopy. Kormanyos et al. observed a remnant uterine septum in 38% of patients after initial hysteroscopic metroplasty. In our case hysteroscopy was performed twice without complications. We used two different techniques in the same patient; the first involved a resectoscope with a unipolar electrode and the second involved a Versapoint with a bipolar electrode. Although these two operation types appear to be similar, hysteroscopic metroplasty with Versapoint is a safe and effective alternative to the operative resectoscope. Our case demonstrates a rare but dramatic complication of hysteroscopic metroplasty. Uterine perforation during hysteroscopic metroplasty is accepted as a risk factor for uterine rupture in pregnancy. The extensive enlargement of the uterus during pregnancy might be a reasonable cause of uterine rupture in patients that have undergone hysteroscopic metroplasty previously. |
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| Item Description: | 1300-4751 |