Cargando…

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

OBJECTIVE: An 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. METHODS: We retrospectivel...

Descripción completa

Detalles Bibliográficos
Autores principales: Wu, Xiaoyi, Jiang, Wei, Xu, Huan, Ye, Xuping, Xu, Congjian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136024/
https://www.ncbi.nlm.nih.gov/pubmed/29916299
http://dx.doi.org/10.1177/0300060518776769
_version_ 1783354927708372992
author Wu, Xiaoyi
Jiang, Wei
Xu, Huan
Ye, Xuping
Xu, Congjian
author_facet Wu, Xiaoyi
Jiang, Wei
Xu, Huan
Ye, Xuping
Xu, Congjian
author_sort Wu, Xiaoyi
collection PubMed
description OBJECTIVE: An 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. METHODS: We 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. RESULTS: All 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. CONCLUSIONS: Excessive 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.
format Online
Article
Text
id pubmed-6136024
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher SAGE Publications
record_format MEDLINE/PubMed
spelling pubmed-61360242018-09-17 Characteristics of uterine rupture after laparoscopic surgery of the uterus: clinical analysis of 10 cases and literature review Wu, Xiaoyi Jiang, Wei Xu, Huan Ye, Xuping Xu, Congjian J Int Med Res Clinical Research Reports OBJECTIVE: An 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. METHODS: We 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. RESULTS: All 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. CONCLUSIONS: Excessive 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. SAGE Publications 2018-06-19 2018-09 /pmc/articles/PMC6136024/ /pubmed/29916299 http://dx.doi.org/10.1177/0300060518776769 Text en © The Author(s) 2018 http://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Clinical Research Reports
Wu, Xiaoyi
Jiang, Wei
Xu, Huan
Ye, Xuping
Xu, Congjian
Characteristics of uterine rupture after laparoscopic surgery of the uterus: clinical analysis of 10 cases and literature review
title Characteristics of uterine rupture after laparoscopic surgery of the uterus: clinical analysis of 10 cases and literature review
title_full Characteristics of uterine rupture after laparoscopic surgery of the uterus: clinical analysis of 10 cases and literature review
title_fullStr Characteristics of uterine rupture after laparoscopic surgery of the uterus: clinical analysis of 10 cases and literature review
title_full_unstemmed Characteristics of uterine rupture after laparoscopic surgery of the uterus: clinical analysis of 10 cases and literature review
title_short Characteristics of uterine rupture after laparoscopic surgery of the uterus: clinical analysis of 10 cases and literature review
title_sort characteristics of uterine rupture after laparoscopic surgery of the uterus: clinical analysis of 10 cases and literature review
topic Clinical Research Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136024/
https://www.ncbi.nlm.nih.gov/pubmed/29916299
http://dx.doi.org/10.1177/0300060518776769
work_keys_str_mv AT wuxiaoyi characteristicsofuterineruptureafterlaparoscopicsurgeryoftheuterusclinicalanalysisof10casesandliteraturereview
AT jiangwei characteristicsofuterineruptureafterlaparoscopicsurgeryoftheuterusclinicalanalysisof10casesandliteraturereview
AT xuhuan characteristicsofuterineruptureafterlaparoscopicsurgeryoftheuterusclinicalanalysisof10casesandliteraturereview
AT yexuping characteristicsofuterineruptureafterlaparoscopicsurgeryoftheuterusclinicalanalysisof10casesandliteraturereview
AT xucongjian characteristicsofuterineruptureafterlaparoscopicsurgeryoftheuterusclinicalanalysisof10casesandliteraturereview