Successful Management of a Cesarean Scar Defect with Dehiscence of the Uterine Incision by Using Wound Lavage
Cesarean scar defects (CSDs) that can be visualized using transvaginal ultrasonography (TVUS) may cause prolonged menstruation, irregular genital bleeding, and secondary infertility; surgical repair is sometimes necessary. We present a case of CSD, with dehiscence of the uterine incision, which was...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2014/421014 |
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| author | Akinori Ida Yoko Kubota Maiko Nosaka Koichi Ito Hiroshi Kato Yoshiyuki Tsuji |
| author_facet | Akinori Ida Yoko Kubota Maiko Nosaka Koichi Ito Hiroshi Kato Yoshiyuki Tsuji |
| author_sort | Akinori Ida |
| collection | DOAJ |
| description | Cesarean scar defects (CSDs) that can be visualized using transvaginal ultrasonography (TVUS) may cause prolonged menstruation, irregular genital bleeding, and secondary infertility; surgical repair is sometimes necessary. We present a case of CSD, with dehiscence of the uterine incision, which was managed using wound lavage. A 38-year-old woman (gravida 4, para 4) had delivered her third and fourth children by cesarean section. Upon the resumption of menstruation, 9 months after her second cesarean section, she demonstrated prolonged menstruation and the presence of a menstrual fistula due to dehiscence of the cesarean section incision from the myometrium to the serosa. We treated the defect by lavaging with a physiological saline solution. After lavaging the wound 3 times, spontaneous healing of the dehiscent muscle layer was successfully achieved. The treatment was complication-free and the healing of the muscle layer has been maintained for more than 8 months. |
| format | Article |
| id | doaj-art-2425ef2b68694a7a8e0d2eee26ee2554 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-2425ef2b68694a7a8e0d2eee26ee25542025-08-20T03:54:52ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922014-01-01201410.1155/2014/421014421014Successful Management of a Cesarean Scar Defect with Dehiscence of the Uterine Incision by Using Wound LavageAkinori Ida0Yoko Kubota1Maiko Nosaka2Koichi Ito3Hiroshi Kato4Yoshiyuki Tsuji5Department of Obstetrics and Gynecology, Kobe Adventist Hospital, 4-1 Arinodai, 8-Chome, Kita-ku, Kobe 651-1321, JapanDepartment of Obstetrics and Gynecology, Kobe Adventist Hospital, 4-1 Arinodai, 8-Chome, Kita-ku, Kobe 651-1321, JapanDepartment of Obstetrics and Gynecology, Kobe Adventist Hospital, 4-1 Arinodai, 8-Chome, Kita-ku, Kobe 651-1321, JapanDepartment of Obstetrics and Gynecology, Kobe Adventist Hospital, 4-1 Arinodai, 8-Chome, Kita-ku, Kobe 651-1321, JapanDepartment of Obstetrics and Gynecology, Kobe Adventist Hospital, 4-1 Arinodai, 8-Chome, Kita-ku, Kobe 651-1321, JapanDepartment of Obstetrics and Gynecology, Kobe Adventist Hospital, 4-1 Arinodai, 8-Chome, Kita-ku, Kobe 651-1321, JapanCesarean scar defects (CSDs) that can be visualized using transvaginal ultrasonography (TVUS) may cause prolonged menstruation, irregular genital bleeding, and secondary infertility; surgical repair is sometimes necessary. We present a case of CSD, with dehiscence of the uterine incision, which was managed using wound lavage. A 38-year-old woman (gravida 4, para 4) had delivered her third and fourth children by cesarean section. Upon the resumption of menstruation, 9 months after her second cesarean section, she demonstrated prolonged menstruation and the presence of a menstrual fistula due to dehiscence of the cesarean section incision from the myometrium to the serosa. We treated the defect by lavaging with a physiological saline solution. After lavaging the wound 3 times, spontaneous healing of the dehiscent muscle layer was successfully achieved. The treatment was complication-free and the healing of the muscle layer has been maintained for more than 8 months.http://dx.doi.org/10.1155/2014/421014 |
| spellingShingle | Akinori Ida Yoko Kubota Maiko Nosaka Koichi Ito Hiroshi Kato Yoshiyuki Tsuji Successful Management of a Cesarean Scar Defect with Dehiscence of the Uterine Incision by Using Wound Lavage Case Reports in Obstetrics and Gynecology |
| title | Successful Management of a Cesarean Scar Defect with Dehiscence of the Uterine Incision by Using Wound Lavage |
| title_full | Successful Management of a Cesarean Scar Defect with Dehiscence of the Uterine Incision by Using Wound Lavage |
| title_fullStr | Successful Management of a Cesarean Scar Defect with Dehiscence of the Uterine Incision by Using Wound Lavage |
| title_full_unstemmed | Successful Management of a Cesarean Scar Defect with Dehiscence of the Uterine Incision by Using Wound Lavage |
| title_short | Successful Management of a Cesarean Scar Defect with Dehiscence of the Uterine Incision by Using Wound Lavage |
| title_sort | successful management of a cesarean scar defect with dehiscence of the uterine incision by using wound lavage |
| url | http://dx.doi.org/10.1155/2014/421014 |
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