Surgical repair of a uterine scar during pregnancy: indications, conditions, and risks
Background. The problem of cesarean section in modern obstetrics is becoming increasingly important not only because of the continuously increasing frequency of this operation, but also because of a larger number of long-term adverse consequences.Zharkin N.A., Prokhvatilov S.A., Burova N.A., Gavrilchuk T.K., Grammatikova O.A., Mudraya E.V., Snigur G.L.
Description. The paper presents some clinical cases of uterine scarring after cesarean section in subsequent pregnancy. Second-trimester complications occurred in all patients. Surgical repair of scars and prolongation of pregnancy were performed. Cesarean sections resulted in live births and uterine preservation.
Conclusion. The paper shows some patterns, the knowledge of which can be useful for those who may face such situations.
Keywords
postcesarean-section pregnancy
scar rupture
metroplasty
References
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Received 29.01.2018
Accepted 02.03.2018
About the Authors
Zharkin, Nikolai A., MD, Professor, Head of the Department of Obstetrics and Gynecology, Volgograd State Medical University, Ministry of Health of Russia.400131, Russia, Volgograd, Pavshikh Bortsov Sq. 1. Tel.: +78442334556. E-mail: zharkin55@mail.ru
Prokhvatilov, Sergey A., head of the Gynecological Department, Volgograd Regional Clinical Hospital One.
400081, Russia, Volgograd, Angarskaya str. 13. Tel.: +78442362355. E-mail: sapokb1@gmail.com
Burova, Natalia A., Ph.D., Associate Professor of the Department of Obstetrics and Gynecology, Volgograd State Medical University, Ministry of Health of Russia.
400131, Russia, Volgograd, Pavshikh Bortsov Sq. 1. Tel.: +78442363814. E-mail: natalia-burova@yandex.ru
Gavrilchuk, Tatiana K., Deputy Chief Medical Officer, Clinical Maternity Hospital Two.
400131, Russia, Volgograd, 10-y Divizii NKVD str. 1. Tel.: +78442334555. E-mail: rd2@vomiac.ru
Grammatikova, Oksana A., Head of the Medical Genetic Consultation, Volgograd Regional Clinical Perinatal Center Two.
400008, Russia, Volgograd, Marshala Vasilevskogo str. 70. Tel.: +78442341128. E-mail: monika-bella@mail.ru
Mudraya, Yelena V., a doctor obstetrician-gynecologist, Clinical Maternity Hospital Two.
400131, Russia, Volgograd, 10-y Divizii NKVD str. 1. Tel.: +78442334555. E-mail: rd2@vomiac.ru
Snigur, Grigory L., MD, associate professor, head of the department of biology, Volgograd State Medical University, Ministry of Health of Russia.
400131, Russia, Volgograd, Pavshikh Bortsov Sq. 1. Tel.: +78442375734. E-mail: sgrigoryl@mail.ru
For citations: Zharkin N.A., Prokhvatilov S.A., Burova N.A., Gavrilchuk T.K., Grammatikova O.A., Mudraya E.V., Snigur G.L. Surgical repair of a uterine scar during pregnancy: indications, conditions, and risks. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2018; (10): 142-7. (in Russian)
https://dx.doi.org/10.18565/aig.2018.10.142-147
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