Resection of deep-infiltrating endometriosis could be a risk factor for uterine rupture: a case series with review of the literature
| Autor: | Tristan Gauthier, Michel Canis, Pierre Panel, Hanane Ziadeh, Sarah Amari, Arnaud Letohic, Julien Niro |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Pregnancy medicine.diagnostic_test business.industry medicine.medical_treatment Endometriosis laparoscopy medicine.disease lcsh:Diseases of the genitourinary system. Urology lcsh:RC870-923 lcsh:Gynecology and obstetrics Deep infiltrating endometriosis Surgery Uterine rupture Laparotomy medicine Caesarean section Original Article Risk factor business Laparoscopy lcsh:RG1-991 uterine rupture |
| Zdroj: | F&S Reports, Vol 1, Iss 3, Pp 213-218 (2020) F&S Reports |
| ISSN: | 2666-3341 |
| Popis: | Objective To highlight the possible correlation between Deep Infiltrating Endometriosis (DIE) resection and subsequent uterine rupture. Design Case series and Review of the literature. We report seven cases of uterine rupture in pregnancy, in patients who received a resection of deep infiltrating endometriosis. As of 2019, no publications in the literature considering uterine rupture amongst the obstetrical complications of endometriosis. Therefore, we present 7 cases of uterine rupture in pregnancy following surgical resection of DIE.The reporting of such findings is crucial considering the increase in surgical management of endometriosis. Setting Three Endometriosis Referral Hospitals. Patients Seven young women who underwent laparoscopic resection of deep infiltrating endometriosis (DIE). Six of them had Uterine rupture before or during labor. The seventh patient had posterior wall defect putting her at increased risk of future uterine rupture. Interventions Diagnosis of uterine rupture before or during labor in patientswith a history of prior resection of deep infiltrated endometriosis, leading to delivery by emergency caesarean section or emergency laparotomy for exploration and repair. Main outcome measure Immediate neonate and maternal salvaging caesarean section or laparotomy, followed bya surgical correction of the rupture. Results In six patients,surgeons found uterine rupture at the level of the previous resected endometriosis and diagnosed a posterior wall defect at the same level in one patient. Conclusion Our case series sheds light on the potential increased risk of uterine rupture in pregnancy among women who have had a prior resection of DIE, and raises the question of whether those patients should be considered high risk pregnancy cases, and should be classified as high risk pregnancies and their care rendered by a high risk obstetric specialist. |
| Databáze: | OpenAIRE |
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