SONOGRAPHIC ASSESSMENT OF THE UTERINE WALL CESAREAN SECTION SCAR

2021 ◽  
Vol 3 (4) ◽  
pp. 104-105
Author(s):  
Alaa ElDin Abdel Hamid ◽  
Tamer Hanafy ◽  
Rafik Ibrahim ◽  
Esraa Kamal Elmenofy
Author(s):  
Ismail Biyik ◽  
Fatih Keskin ◽  
Elif Keskin

AbstractPlacenta accreta syndromes are associated with increased maternal mortality and morbidity. Cesarean hysterectomy is usually performed in cases of placenta accreta syndrome. Fertility sparing methods can be applied. In the present study, we report a successful segmental uterine resection method for placenta accreta in the anterior uterine wall in a cesarean section case. A 39-year-old woman underwent an elective cesarean section at 38 + 2 weeks. A placental tissue with an area of 10 cm was observed extending from the anterior uterine wall to the serosa, 2 cm above the uterine incision line. The placental tissue was removed with the help of monopolar electrocautery. The uterine incision was continuously sutured. The patient was discharged on the second postoperative day. The placental pathology was reported as placenta accreta. The American College of Obstetricians and Gynecologists (ACOG) generally recommends cesarean section hysterectomy in cases of placenta accreta because removal of placenta associated with significant hemorrhage. Conservative and fertility sparing methods include placenta left in situ, cervical inversion technique and triple-P procedure. There are several studies reporting that segmental uterine resection is performed with and without balloon placement or artery ligation. Segmental uterine resection may be an alternative to cesarean hysterectomy to preserve fertility or to protect the uterus in cases of placenta accreta when there is no placenta previa.


2016 ◽  
Vol 5 (2) ◽  
pp. 85-87
Author(s):  
İbrahim Alanbay ◽  
Mustafa Öztürk ◽  
Mustafa Ulubay ◽  
Uğur Keskin ◽  
Emre Karaşahin

Abstract Septum resection using hysterescopy is safe, rapid and efective, but some late complication of it may be seen as uterine rupture or dehiscence of uterine wall during pregnancy due to myometrial damage. We present a case of recurrent large uterine fundal dehiscence conscecutive to cesarean section in a patient who had previously undergone a uterine septum resection. The patient was a 35-year-old who presented at 39 weeks of gestation (Gravida 2, Parity 1) and was admitted for an elective cesarean section. Her reproductive history included a septum resection which resulted in uterine perforation, and one previous cesarean section in which a large fundal defect was found and repaired. Then the examination had shown an aproximately 5 cm large uterine fundus defect including all three layers of uterus which had been repaired. Perforation or excessively deep incision of uterine fundus during hysteroscopic metroplasty may cause chronic weakness of the uterine wall especially at fundal localization. Our case was an incidental uterine wall dehiscence during cesarean section. Patients with an uterine septum resection history should be followed up carefully for uterine rupture during pregnancy.


Author(s):  
Zsofia DARADICS ◽  
Mirela Alexandra RUS ◽  
Antonia POPA ◽  
Cristian M. CRECAN ◽  
Cosmin P. PEȘTEAN ◽  
...  

The term dystocia refers to an abnormal birth and the most common cause is an abnormal alignment of the head or forelimbs in the birth canal. Usually in adult horses, acute renal failure occurs as a complication of another disease process that causes hypovolemia . Diarrhea and severe laminitis may develop in more serious cases. The aim of this case report was to present a cesarean section in the mare that evolved with renal failure and subsequent with laminitis. A nine year old Friesian mare was referred to the Veterinary teaching hospital FMV Cluj-Napoca, after a dystocia that could not be resolved conservatively.During surgery, profuse hemorrhage was noticed during the incision and suture of the uterine wall. Hypovolemia was corrected and recovery was uneventful. Two days after surgery, the mare developed acute hyposthenuric renal failure. After 3 days of intensive therapy, kidney function started to improve but the mare developed laminitis. The mare improved over a few weeks and was discharged after orthopedic shoeing. According to the author’s knowledge, this is the first case report of a cesarean section in the mare that evolved into this cascade of sequelae.


2020 ◽  
Vol 1 (6) ◽  
pp. 17-27
Author(s):  
Mutiara Hikmah ◽  
Asriwati Asriwati ◽  
Aida Fitria ◽  
Lucia Lastiur

Caesarean section delivery is a method of delivery in which an incision or incision is made in the abdominal wall and uterine wall to remove the product of conception. This study aims to analyze the factors that influence the increase in the number of Sesarea sections in the H. Sahudin Kutacane Regional Hospital, Southeast Aceh, Aceh Province, Indonesia. This research method is a mixed method with a cross-sectional or explanatory sequential approach. The number of samples used for the quantitative study were 40 women giving birth by cesarean section, and for qualitative research using 4 informants consisting of 2 maternal, 1 obstetrician, and 1 clinic midwife. Data collection techniques in this study used primary, secondary, and tertiary data. The data analysis techniques used in this study were univariate, bivariate, and multivariate. The results of this study indicate that the factors of age (p = 0.221), education (p = 0.000), work (p = 0.733), parity (p = 0.000), medical indications (p = 0.140), JKN KIS (p = 0.000), knowledge (p = 0.007), and attitude (p = 0.000). Of the 5 related variables, there were no variables that directly affected the increase in cesarean section (p value => 0.05). There is a significant relationship between education, parity, national health insurance, knowledge and attitudes towards increasing cesarean section delivery in RSUD. H. Sahudin Kutacane, but of the five variables, none of the variables had an effect on the increase in the cesarean section rate in RSUD.H. Sahudin Kutacane.


1996 ◽  
Vol 42 (3) ◽  
pp. 211-213 ◽  
Author(s):  
Ayşe Kafkash ◽  
Robert R. Franklin ◽  
Dan Sauls

2012 ◽  
Vol 39 (1) ◽  
pp. 91-95 ◽  
Author(s):  
Ryutaro Nishida ◽  
Takahiro Yamada ◽  
Rina Akaishi ◽  
Takashi Kojima ◽  
Satoshi Ishikawa ◽  
...  

2015 ◽  
Vol 64 (2) ◽  
pp. 53-58 ◽  
Author(s):  
Vladislav Ivanovich Krasnopol’skiy ◽  
Lidiya Sergeevna Logutova ◽  
Svetlana Nikolaevna Buyanova ◽  
Marina Aleksandrovna Chechneva ◽  
Ketsvan Nodarievna Akhlediani

Cesarean section (CS) is the most widespread operation despite of high frequency of intra and post operational complications as opposed to spontaneous delivery. The aim of investigation (objective) is the analysis of outcomes of CS in every stages during and after CS. Material and methods. There is a retrospective analysis of 675 patients after CS. 60 women after pregnancy; 75 patients with insolvent scar after previous CS during planning of the next pregnancy; 540 scarred pregnant women in term and 24 pregnant women with implantation in the scar. Results. The application of the secondary sutures is indicated in the case of insufficient sutures on the uterine wall. The metroplastic operation is indicated during the next pregnancy. The insufficiency of the previous uterine scar is the indication for CS in more than 70 %. The earliest diagnosis of the localization of the placenta in the scar is desirable. The most cautious method of pregnancy interruption should be used with immediate or postponed metroplastic.


2018 ◽  
Vol 25 ◽  
pp. 87-89
Author(s):  
M Durrul Huda ◽  
M Hafizur Rahman ◽  
Shermin Selina Sultana ◽  
M Kabiruzzaman Shah ◽  
M Mohibul Hasan ◽  
...  

A uterocutaneous fistula is a rare clinical presentation that occurs following Cesarean section and other pelvic operations. We report a case of Uterocutaneous fistula which was formed following lower segment caesarean section. USG was helpful in the diagnosis and was treated successfully with fistulectomy and repair of uterine wall. The case highlights the rare complication in caesarean section and diagnosis with USG and experience with its management.TAJ 2012; 25: 87-89


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