Rare clinical case of uterine scar dehiscence after cesarean section in late postoperative period

AbstractColorectal cancer (CRC) is the fourth most frequently diagnosed cancer in the United States and it is found in 17% of patients thought to have complicated diverticular disease. However, primary adenocarcinoma rarely occur in the colostomy site and the risk of developing malignancy is similar to that of any other colonic segment. Polyps found in CRC screenings can be divided into the following types: hyperplastic polyps, polyps with no malignant potential, adenomatous polyps, polyps with malignant potential, and malignancies. Local complications of the colostomy can appear in the immediate, early, or late postoperative period, with an incidence ranging from 15 to 30%; neoplasia is even less common.

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Clinical case of conservative treatment of choroid detachment that developed in the long term after phacoemulsification of age-related cataract

Modern technologies in ophtalmology ◽

10.25276/2312-4911-2021-1-47-49 ◽

2021 ◽

pp. 47-49

Author(s):

Lina Bai ◽

Keyword(s):

Conservative Treatment ◽

Postoperative Period ◽

Clinical Case ◽

Atropine Sulfate ◽

Posterior Chamber ◽

Choroidal Detachment ◽

Age Related ◽

Posterior Chamber Intraocular Lens ◽

Late Postoperative Period

A clinical case of successful conservative treatment of choroidal detachment (CD), which developed in the long term after phacoemulsification of age-related cataract (PEC), is presented. The patient underwent PEC of the left eye 3 months ago with implantation of a posterior chamber intraocular lens, while an antiglaucoma operation was performed a year earlier. The patient was canceled the hypotensive regimen and conservative treatment was prescribed – instillation of Midrimax drops (Phenylephrine 5.0% + Tropicamide 0.8%) 2 times a day, Dexamethasone 0.1% – 4 times a day, subconjunctival injections of 2 mg Dexamethasone and 0.1 ml of 0.1% solution of Atropine sulfate. The prescribed conservative treatment made it possible to arrest the CD in the pseudophakic eye, which arose in the late postoperative period, and made it possible to avoid the need for posterior sclerectomy. Key words: choroid detachment, phacoemulsification of age-related cataract, conservative treatment.

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Features of uterine scar after cesarean section depending on the time of delivery

Journal of obstetrics and women s diseases ◽

10.17816/jowd62461-65 ◽

2013 ◽

Vol 62 (4) ◽

pp. 61-65

Author(s):

Irina Valeryevna Telegina ◽

Roman Vladimirovich Pavlov ◽

Sergey Alekseyevich Selkov

Keyword(s):

Cesarean Section ◽

Comparative Study ◽

Postoperative Period ◽

Early Postoperative Period ◽

Term Pregnancy ◽

Time Of Surgery ◽

Number Of Patients ◽

Uterine Scar ◽

Term Labor

The article includes the results of comparative study of uterine scar after cesarean section depending on the time of surgery – at term pregnancy or during the term labor. There was more intense neoangiogenesis in the uterine wound at early postoperative period and the number of patients with morphologically “sufficient” uterine scar increased in 2 times when cesarean section was performed at term labor.

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CERVIX DELAMINATION IN A PATIENT WITH INVASION OF PLACENTA PREVIA TO THE UTERINE SCAR AFTER CESAREAN SECTION (clinical case presentation)

The Bulletin of Contemporary Clinical Medicine ◽

10.20969/vskm.2018.11(5).154-158 ◽

2018 ◽

Vol 11 (5) ◽

pp. 154-158

Author(s):

RUSHANYA I. GABIDULLINA ◽

◽

GULFIRA N . KALIMULLINA ◽

OLGA N . MIKHAYLOVA ◽

MARAT A . MINGAZETDINOV ◽

...

Keyword(s):

Cesarean Section ◽

Clinical Case ◽

Placenta Previa ◽

Case Presentation ◽

Uterine Scar

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Ectopic pregnancy in the uterus scar left after cesarean section: a clinical case

Obstetrics Gynecology and Reproduction ◽

10.17749/2313-7347.2018.12.2.069-075 ◽

2018 ◽

Vol 12 (2) ◽

pp. 69-75

Author(s):

A. N. Rybalka ◽

A. N. Sulima ◽

D. А. Beglitse ◽

O. A. Mitrofanova ◽

O. S. Latyshev ◽

...

Keyword(s):

Cesarean Section ◽

Ectopic Pregnancy ◽

Clinical Case ◽

Reproductive Organ ◽

Uterine Scar

The article describes a rare clinical case of ectopic pregnancy in the uterine scar left after a cesarean section. The case demonstrates the complexity of diagnosing this abnormality and managing such patients. The proposed approach allowed us to diagnose pregnancy in the uterus scar in due time, avoid hysterectomy, and preserve the reproductive organ.

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A CLINICAL CASE OF AN UNDEVELOPED PREGNANCY IN A UTERINE SCAR AFTER A CESAREAN SECTION

Acta medica Eurasica ◽

10.47026/2413-4864-2021-3-26-34 ◽

2021 ◽

pp. 26-34

Author(s):

Mikhail E. Shchepelev ◽

Tatyana V. Deripasko ◽

Anastasiya A. Sidorova ◽

Elena G. Drandrova ◽

Evgeny V. Moskvichev ◽

...

Keyword(s):

Cesarean Section ◽

Clinical Case ◽

Reproductive Function ◽

Childbearing Age ◽

Pregnancy And Childbirth ◽

First Child ◽

Anatomical Classification ◽

Uterine Scar ◽

Ectopic Pregnancies

Over the past twenty-five years, the average age of a woman giving birth to the first child has grown significantly around the world. So, in Russia, currently, women begin to bring their reproductive function into action on average at the age of 26-35. This leads to the fact that obstetricians and gynecologists in their practice increasingly face with pregnancy and childbirth complicated by a uterine scar after a previous cesarean section or myomectomy. The formation of a uterine scar after any intervention entails the likelihood of long-term complications, such as a rupture of the uterus along the scar and pregnancy in the uterine scar. According to the latest clinical recommendations for ectopic pregnancy, pregnancy in the uterine scar has been added to the anatomical classification of ectopic pregnancies. The article describes a clinical case of an undeveloped pregnancy in the uterine scar after a cesarean section, it shows the difficulty of timely diagnosis of such pregnancy, which often results in improper management of patients and loss of fertility by women of childbearing age. In the described case, late diagnosis of pregnancy in the uterine scar necessitated organ-resecting surgery – extirpation of the uterus with fallopian tubes.

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Clinical Case Study: Total Reverse Shoulder Replacement-Major Features of Physiotherapy in Early and Late Postoperative Period

2020 International Conference on Assistive and Rehabilitation Technologies (iCareTech) ◽

10.1109/icaretech49914.2020.00018 ◽

2020 ◽

Author(s):

Aleksandar Andreev ◽

Tsvetan Sokolov ◽

Kiril Panayotov

Keyword(s):

Postoperative Period ◽

Clinical Case ◽

Shoulder Replacement ◽

Clinical Case Study ◽

Reverse Shoulder Replacement ◽

Late Postoperative Period

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Combined Extended High Spinal Anesthesia and Endotracheal Narcosis: a Clinical Case

Acta biomedica scientifica ◽

10.29413/abs.2019-4.2.23 ◽

2019 ◽

Vol 4 (2) ◽

pp. 152-154

Author(s):

A. B. Yakushevsky ◽

A. N. Plekhanov ◽

A. B. Ayusheev

Keyword(s):

Abdominal Surgery ◽

Spinal Anesthesia ◽

Postoperative Period ◽

Initial Dose ◽

Clinical Case ◽

Central Hemodynamics ◽

Narcotic Analgesics ◽

Spinal Catheter ◽

The Right ◽

Endotracheal Anesthesia

Background. In recent years, various methods of combined anesthesia during abdominal surgery have been introduced into clinical practice.Aim. To demonstrate the possibilities of a combination of high prolonged spinal anesthesia and endotracheal anesthesia during abdominal surgery.Materials and methods. A clinical case of combined use of high prolonged spinal anesthesia and endotracheal anesthesia in a 48-year-old patient with a tumor in the right half of the ascending part of the right half of the colon is presented.Results. The patient received a puncture of the spinal space at a standard point and was installed a spinal catheter in the cranial direction for 3 cm. An isobaric solution of marcaine in the initial dose of 20 mg was injected into the catheter. The regulation of the development of the block was regulated by the inclination of the head end of the table by 60°. After that endotracheal anesthesia was performed on the basis of fentanyl and propofol. This combination allowed to expand the scope of surgical intervention, provided adequate pain relief intraoperatively and in the postoperative period, without the use of narcotic analgesics. With the appearance of signs of recovery of pain sensitivity, intraoperatively or in the postoperative period, re-introduction of the anesthetic into the spinal catheter was performed in half of the initial dose with liquor barbotage. In the early postoperative period, the patient was on strict bed rest with a head end of the bed raised at 30–45°. The method provides complete segmental blockade and muscle relaxation in the area of operation, stability of central hemodynamics during surgery and in the postoperative period.Conclusion. This type of anesthesia is more easily tolerated by patients, accompanied by early awakening and extubation, characterized by stability of central hemodynamics, reduced risk of complications, the possibility of prolonging anesthesia with lower doses of narcotic analgesics in the intraoperative period, providing high-quality anesthesia in the postoperative period without resorting to the use of narcotic analgesics.

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