دورية أكاديمية
A case report of successful vaginal delivery in a patient with severe uterine prolapse and a review of the healing process of a cervical incision
| العنوان: | A case report of successful vaginal delivery in a patient with severe uterine prolapse and a review of the healing process of a cervical incision |
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| المؤلفون: | Jota Maki, Tomohiro Mitoma, Sakurako Mishima, Akiko Ohira, Kazumasa Tani, Eriko Eto, Kei Hayata, Hisashi Masuyama |
| المصدر: | Case Reports in Women's Health, Vol 33, Iss , Pp e00375- (2022) |
| بيانات النشر: | Elsevier, 2022. |
| سنة النشر: | 2022 |
| المجموعة: | LCC:Surgery LCC:Gynecology and obstetrics |
| مصطلحات موضوعية: | Suture techniques, Scars, Complete uterine prolapse, Pregnancy, Vaginal delivery, Surgery, RD1-811, Gynecology and obstetrics, RG1-991 |
| الوصف: | Background: The incidence of severe uterine prolapse during childbirth is approximately 0.01%. Moreover, to the best of our knowledge, no reports detail the healing process of the cervix during uterine involution. This report describes successful vaginal delivery and the healing process of postpartum uterine prolapse and cervical tears in a patient with severe uterine prolapse. Case presentation: A patient in her 40s (gravida 3, para 1, abortus 1) with severe uterine prolapse successfully delivered a live female baby weighing 3190 g at 38 + 5 weeks of gestation by assisted vaginal delivery. Uterine prolapse had improved to approximately 2° by 2 months postoperatively. On postpartum day 4, during the healing process of cervical laceration, the thread loosened in a single layer of continuous sutures due to uterine involution, and poor wound healing was observed. The wound was subsequently re-sutured with a two-layer single ligation suture (Gambee suture + vertical mattress suture). However, on postpartum day 11, a large thread ball was hindering the healing of the muscle layer, which improved with re-suturing. Conclusion: Although vaginal delivery in a patient with severe uterine prolapse is possible in some cases, the cervix should be sutured, while considering cervical involution after delivery. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2214-9112 |
| Relation: | http://www.sciencedirect.com/science/article/pii/S221491122100093X; https://doaj.org/toc/2214-9112 |
| DOI: | 10.1016/j.crwh.2021.e00375 |
| URL الوصول: | https://doaj.org/article/c3aad4ff1ef84bf8bbf7922713c13042 |
| رقم الأكسشن: | edsdoj.3aad4ff1ef84bf8bbf7922713c13042 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 22149112 |
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| DOI: | 10.1016/j.crwh.2021.e00375 |