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- Title
Treatment strategy for failed repair of uterine rupture: Cleansing an abscess via the cervical Canal.
- Authors
Fukuoka, Yasunori; Katou, Hiroki; Shibata, Takashi; Tokuda, Hisato; Iizuka, Noriaki; Nakago, Satoshi
- Abstract
We present a new, conservative treatment strategy for the cases in which an initial repair surgery of uterine rupture failed. In a case presented here, the patient underwent a repair surgery for the uterine rupture that became apparent 4 days after the cesarean delivery, but a part of the wound did not heal and an abscess formed in the surrounding area. The patient had purulent discharge from vagina, which led us to try to insert a Nelaton tube from vagina via cervical canal and to cleanse the abscess cavity. This procedure was successful and the abscess disappeared 38 days later, allowing the healing of the ruptured wound. The patient could deliver a baby 2 years later. Even if the initial repair treatment fails, a possibility of preserving the uterus should be considered for next pregnancy. One of the concrete treatment strategies for this purpose was presented.
- Subjects
CERVIX uteri surgery; VAGINAL surgery; ABSCESSES; CESAREAN section; UTERINE rupture; WOUND healing; THERAPEUTIC embolization; TREATMENT effectiveness; VAGINAL discharge; UTERINE artery; ADULTS
- Publication
Journal of Obstetrics & Gynaecology Research, 2020, Vol 46, Issue 7, p1207
- ISSN
1341-8076
- Publication type
Article
- DOI
10.1111/jog.14265