New treatment option for early spontaneous rupture of a postmyomectomy gravid uterus  

Oleh:

Gerli, Sandro ; Baiocchi, Gabriela ; Favilli, Alessandro ; Di Renzo, Gian Carlo

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 96 no. 02 (Aug. 2011), page e97-e98.
Topik: Myomectomy; Bakri balloon; uterine atony; early spontaneous uterine rupture

Ketersediaan

Perpustakaan FK Nomor Panggil: F02.K.2011.04 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Objective To report the successful treatment of a postmyomectomy, early uterine rupture with the use of a Bakri balloon. Design Case report. Setting University hospital, department of obstetrics and gynecology. Patient(s) A 32-year-old patient, gravida 1, at 19 weeks’ gestation, with postmyomectomy spontaneous uterine rupture and concurrent uterine atony. Intervention(s) Laparotomy was done because of massive hemoperitoneum. A Bakri balloon was inserted, and a two-layer suture of the uterine defect was performed. Main Outcome Measure(s) Possibility of controlling hemorrhage and avoiding hysterectomy. Result(s) Contemporary surgical sutures and insertion of a Bakri balloon were effective at controlling hemorrhage. The uterus was preserved. Conclusion(s) The use of a Bakri balloon, combined with traditional surgical techniques, is described as a new method to successfully treat hemorrhage in the case of early spontaneous uterine rupture. In this case, hysterectomy was also avoided.

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