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Treatment strategy for failed repair of uterine rupture: Cleansing an abscess via the cervical Canal
Author(s) -
Fukuoka Yasunori,
Katou Hiroki,
Shibata Takashi,
Tokuda Hisato,
Iizuka Noriaki,
Nakago Satoshi
Publication year - 2020
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.14265
Subject(s) - medicine , surgery , cervical canal , abscess , vagina , uterus , vaginal discharge , uterine rupture , pregnancy , cervix , cancer , biology , genetics
We present a new, conservative treatment strategy for the cases in which an initial repair surgery of uterine rupture failed. In a case presented here, the patient underwent a repair surgery for the uterine rupture that became apparent 4 days after the cesarean delivery, but a part of the wound did not heal and an abscess formed in the surrounding area. The patient had purulent discharge from vagina, which led us to try to insert a Nelaton tube from vagina via cervical canal and to cleanse the abscess cavity. This procedure was successful and the abscess disappeared 38 days later, allowing the healing of the ruptured wound. The patient could deliver a baby 2 years later. Even if the initial repair treatment fails, a possibility of preserving the uterus should be considered for next pregnancy. One of the concrete treatment strategies for this purpose was presented.