| Autor: |
R, Pilka, D, Gágyor, K, Huml, P, Soviar, A, Benická |
| Rok vydání: |
2020 |
| Předmět: |
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| Zdroj: |
Ceska gynekologie. 84(6) |
| ISSN: |
1210-7832 |
| Popis: |
To report a case of laparoscopic hysterosacropexy with subsequent pregnancy complicated by car accident, and terminated by cesarean section due to gestational hypertension.Case report and literature review.Department of Obstetrics and Gynecology, University Hospital and Faculty of Medicine Olomouc, Palacký University.The patient is a 38 years old woman diagnosed with prolapse of the uterus POP-Q III. She had history of three spontaneous vaginal deliveries. In 2016 she underwent laparoscopic hysterosacropexy using Alyte mesh. There were no intraoperative complications, operating time was 80 min and blood loss 60 ml. Three moths after surgery patient became pregnant spontaneously. In 30th week of gestation patient had a car accident with intact pregnancy. During the third trimester patient has developed gestational hypertension which lead in 2017 to termination of pregnancy by cesarean section at 37 weeks. Mesh was found to be intact in the lower uterine segment. Follow up at 30 months after hysterosacropexy and 18 months after cesarean section revealed well supported cervix and no vaginal prolapse.Laparoscopic hysterosacropexy is feasible and safe method for treatment of the uterine prolapse. In young women it can be used to spare reproductive function. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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