Uterine rupture after laparoscopic removal of a pedunculated myoma

被引:46
作者
Parker, William H. [1 ]
Iacampo, Karla [1 ]
Long, Toni [1 ]
机构
[1] St Johns Hlth Ctr, Los Angeles, CA USA
关键词
laparoscopic myomectomy; pedunculated myoma; uterine rupture; pregnancy; myoma; monopolar electrosurgery;
D O I
10.1016/j.jmig.2006.10.024
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
A patient conceived 7 years after undergoing a routine laparoscopic myomectomy of an 11-cm pedunculated myoma. Monopolar modulated current (coagulating) was used for hemostasis, and no suturing was necessary. The pregnancy was uneventful until the 34th week, when pain and contractions signaled uterine rupture. Mother and baby did well after emergency cesarean section. A wide area of adjacent tissue injury after complete hemostasis with monopolar modulated current (coagulating) was felt to be responsible for poor myometrial healing and subsequent rupture. (c) 2007 AAGL. All rights reserved.
引用
收藏
页码:362 / 364
页数:3
相关论文
共 8 条
[1]  
DUBUISSON JB, 1995, HUM REPROD, V10, P1475
[2]  
GARNET J D, 1964, Postgrad Med, V36, P28
[3]   Uterine dehiscence in a nullipara, diagnosed by MRI, following use of unipolar electrocautery during laparoscopic myomectomy [J].
Hasbargen, U ;
Summerer-Moustaki, M ;
Hillemanns, P ;
Scheidler, J ;
Kimmig, R ;
Hepp, H .
HUMAN REPRODUCTION, 2002, 17 (08) :2180-2182
[4]   Uterine rupture after laparoscopic myomectomy [J].
Lieng, M ;
Istre, O ;
Langebrekke, A .
JOURNAL OF THE AMERICAN ASSOCIATION OF GYNECOLOGIC LAPAROSCOPISTS, 2004, 11 (01) :92-93
[5]   Laparoscopic versus abdominal myomectomy: A prospective, randomized trial to evaluate benefits in early outcome [J].
Mais, V ;
Ajossa, S ;
Guerriero, S ;
Mascia, M ;
Solla, E ;
Melis, GB .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1996, 174 (02) :654-658
[6]   RUPTURE OF GRAVID UTERUS IN 3RD TRIMESTER [J].
PALERME, GR ;
FRIEDMAN, EA .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1966, 94 (04) :571-&
[7]   Spontaneous uterine rupture at thirty-three weeks subsequent to previous superficial laparoscopic myomectomy [J].
Pelosi, MA ;
Pelosi, MA .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1997, 177 (06) :1547-1549
[8]   Fertility and obstetric outcome after laparoscopic myomectomy of large myomata: a randomized comparison with abdominal myomectomy [J].
Seracchioli, R ;
Rossi, S ;
Govoni, F ;
Rossi, E ;
Venturoli, S ;
Bulletti, C ;
Flamigni, C .
HUMAN REPRODUCTION, 2000, 15 (12) :2663-2668