| Autor: |
Bülent Haydardedeoğlu, Seda Yüksel, Ayşe Parlakgümüş, Esra Kılıçdağ, Tayfun Bağış |
| Jazyk: |
angličtina |
| Rok vydání: |
2011 |
| Předmět: |
|
| Zdroj: |
Gynecology Obstetrics & Reproductive Medicine, Vol 17, Iss 1 (2011) |
| Druh dokumentu: |
article |
| ISSN: |
1300-4751 |
| Popis: |
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. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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