We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Emergency Laparoendoscopic Single-Site Surgery for Management of Iatrogenic Uterine Perforation: A Report of 3 Cases.
- Authors
Takeda, Akihiro; Shibata, Mayu; Shinone, Sanae; Nakamura, Hiromi
- Abstract
Background: With advancements in surgical techniques and equipment, successful laparoscopic management has been reported in selected cases of iatrogenic uterine perforation. However, management of iatrogenic uterine perforation by laparoendoscopic single-site surgery (LESS) has never been described in a case series. Cases:Case 1: In a 36-year-old woman, uterine perforation with omental injury was induced by placenta forceps during evacuation of a retained placenta and managed by LESS hemostatic suturing of the uterine wound, followed by extracorporeal ligation of the injured omental vessels. Case 2: In a 28-year-old woman, uterine perforation without visceral injury was induced by Pean's forceps during unsuccessful removal of an intrauterine device and was managed by hysteroscopic-assisted removal of the device, followed by LESS compression hemostasis of the uterine perforation. Case 3: In a 29-year-old woman, uterine perforation with a small-bowel injury was induced by placenta forceps during removal of a retained placenta and managed by LESS hemostatic suturing of the uterine wound, followed by extracorporeal resection and re-anastomosis of the injured ileum. Results: Three cases of iatrogenic uterine perforation during intrauterine manipulation were managed successfully, with no significant surgical complications, by LESS surgery. Conclusions: A minimally invasive approach with LESS surgery could be a feasible option for management of iatrogenic uterine perforation.
- Subjects
ENDOSCOPIC surgery; GYNECOLOGIC surgery; IATROGENIC diseases; LAPAROSCOPY; OMENTUM; UTERINE rupture
- Publication
Journal of Gynecologic Surgery, 2020, Vol 36, Issue 1, p26
- ISSN
1042-4067
- Publication type
Article
- DOI
10.1089/gyn.2019.0096