Document Detail

Spontaneous uterine rupture in the early third trimester after laparoscopically assisted myomectomy. A case report.
MedLine Citation:
PMID:  10710746     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The development of new and innovative laparoscopic instruments has allowed a greater number of gynecologic surgeons to laparoscopically remove large, intramural leiomyomata. Cases of both successful pregnancy and uterine rupture following laparoscopic myomectomy have been reported. This is the first report of uterine rupture in pregnancy following a laparoscopically assisted myomectomy. CASE: A 26-year-old, nulligravid woman underwent a laparoscopically assisted myomectomy. While the myomectomy had been performed laparoscopically, the uterine incision had been repaired in layers through a minilaparotomy incision. Two years later she became pregnant and, at 29 weeks' gestation, presented to labor and delivery with contractions and uterine tenderness. Over the next several hours, a nonreassuring fetal heart rate developed, and a cesarean section was performed, revealing hemoperitoneum and uterine rupture at the site of the prior myomectomy. CONCLUSION: The ultimate integrity of a uterine incision may depend not only on how the incision is repaired but also on how it is made. Laparoscopically created uterine incisions may not be as strong as those made at laparotomy, regardless of the method of closure.
S Hockstein
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  45     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  2000 Feb 
Date Detail:
Created Date:  2000-03-29     Completed Date:  2000-03-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  139-41     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Hackensack University Medical Center, University of Medicine and Dentistry of New Jersey, USA.
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MeSH Terms
Laparoscopy / adverse effects*
Leiomyoma / surgery*
Pregnancy Complications / etiology*
Pregnancy Outcome
Uterine Neoplasms / surgery*
Uterine Rupture / etiology*,  pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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