Uterine Rupture after Laparoscopic Myomectomy in Two Cases: Real Complication or Malpractice?
We describe two cases of uterine rupture in pregnancy after laparoscopic myomectomy and analyze all the aetiological factors involved in this circumstance according to the recent literature, focusing above all on the surgical procedures and the characteristics of the excised myomas. The two cases of...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2017/1404815 |
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| author | Antonella Vimercati Vittoria Del Vecchio Annarosa Chincoli Antonio Malvasi Ettore Cicinelli |
| author_facet | Antonella Vimercati Vittoria Del Vecchio Annarosa Chincoli Antonio Malvasi Ettore Cicinelli |
| author_sort | Antonella Vimercati |
| collection | DOAJ |
| description | We describe two cases of uterine rupture in pregnancy after laparoscopic myomectomy and analyze all the aetiological factors involved in this circumstance according to the recent literature, focusing above all on the surgical procedures and the characteristics of the excised myomas. The two cases of uterine rupture in pregnancy following laparoscopic myomectomy occurred at 36 and 18 weeks of gestation, respectively. Both women had undergone laparoscopic multiple myomectomy and uterine rupture occurred along the isthmic myomectomy scars, despite the fact that compliance with all the recent technical surgical recommendations for the previous laparoscopic multiple myomectomy had been fully observed. In our cases we identified the isthmic localization, size of the excised myomas (≥4 cm), and individual characteristics of the healing process as possible risk factors for “a real complication.” Larger studies and robust case-control analyses are needed to draw reliable conclusions; special care should be paid when performing laparoscopic myomectomy in women planning a later pregnancy. |
| format | Article |
| id | doaj-art-a822afbec2ea40f4a5848d8aa47a5c81 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-a822afbec2ea40f4a5848d8aa47a5c812025-02-03T01:00:21ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922017-01-01201710.1155/2017/14048151404815Uterine Rupture after Laparoscopic Myomectomy in Two Cases: Real Complication or Malpractice?Antonella Vimercati0Vittoria Del Vecchio1Annarosa Chincoli2Antonio Malvasi3Ettore Cicinelli4Department of Biomedical and Human Oncological Science (DIMO), 2nd Unit of Obstetrics and Gynaecology, University of Bari, Bari, ItalyDepartment of Biomedical and Human Oncological Science (DIMO), 2nd Unit of Obstetrics and Gynaecology, University of Bari, Bari, ItalyDepartment of Biomedical and Human Oncological Science (DIMO), 2nd Unit of Obstetrics and Gynaecology, University of Bari, Bari, ItalySanta Maria Hospital, GVM Care & Research, Bari, ItalyDepartment of Biomedical and Human Oncological Science (DIMO), 2nd Unit of Obstetrics and Gynaecology, University of Bari, Bari, ItalyWe describe two cases of uterine rupture in pregnancy after laparoscopic myomectomy and analyze all the aetiological factors involved in this circumstance according to the recent literature, focusing above all on the surgical procedures and the characteristics of the excised myomas. The two cases of uterine rupture in pregnancy following laparoscopic myomectomy occurred at 36 and 18 weeks of gestation, respectively. Both women had undergone laparoscopic multiple myomectomy and uterine rupture occurred along the isthmic myomectomy scars, despite the fact that compliance with all the recent technical surgical recommendations for the previous laparoscopic multiple myomectomy had been fully observed. In our cases we identified the isthmic localization, size of the excised myomas (≥4 cm), and individual characteristics of the healing process as possible risk factors for “a real complication.” Larger studies and robust case-control analyses are needed to draw reliable conclusions; special care should be paid when performing laparoscopic myomectomy in women planning a later pregnancy.http://dx.doi.org/10.1155/2017/1404815 |
| spellingShingle | Antonella Vimercati Vittoria Del Vecchio Annarosa Chincoli Antonio Malvasi Ettore Cicinelli Uterine Rupture after Laparoscopic Myomectomy in Two Cases: Real Complication or Malpractice? Case Reports in Obstetrics and Gynecology |
| title | Uterine Rupture after Laparoscopic Myomectomy in Two Cases: Real Complication or Malpractice? |
| title_full | Uterine Rupture after Laparoscopic Myomectomy in Two Cases: Real Complication or Malpractice? |
| title_fullStr | Uterine Rupture after Laparoscopic Myomectomy in Two Cases: Real Complication or Malpractice? |
| title_full_unstemmed | Uterine Rupture after Laparoscopic Myomectomy in Two Cases: Real Complication or Malpractice? |
| title_short | Uterine Rupture after Laparoscopic Myomectomy in Two Cases: Real Complication or Malpractice? |
| title_sort | uterine rupture after laparoscopic myomectomy in two cases real complication or malpractice |
| url | http://dx.doi.org/10.1155/2017/1404815 |
| work_keys_str_mv | AT antonellavimercati uterineruptureafterlaparoscopicmyomectomyintwocasesrealcomplicationormalpractice AT vittoriadelvecchio uterineruptureafterlaparoscopicmyomectomyintwocasesrealcomplicationormalpractice AT annarosachincoli uterineruptureafterlaparoscopicmyomectomyintwocasesrealcomplicationormalpractice AT antoniomalvasi uterineruptureafterlaparoscopicmyomectomyintwocasesrealcomplicationormalpractice AT ettorecicinelli uterineruptureafterlaparoscopicmyomectomyintwocasesrealcomplicationormalpractice |