Open AccessEXPERIENCE OF LAPAROSCOPIC CORRECTION OF FAILURE OF THE UTERINE SCAR AFTER THE CESAREAN OPERATION
Author(s) -
D.V. Bryunin,
N. S Mikhayelyan,
I.D. Khokhlova,
T.A. Dzhibladze,
A.I. Ishchenko,
O.Yu. Gorbenko,
Т. В. Гаврилова,
I.V. Gadaeva
Publication year - 2018
Publication title -
arhiv akušerstva i ginekologii im. v.f. snegireva
Language(s) - English
Resource type - Journals
eISSN - 2687-1386
pISSN - 2313-8726
DOI - 10.18821/2313-8726-2018-5-3-148-153
Subject(s) - medicine , pregnancy , surgery , childbirth , rehabilitation , laparoscopy , quality of life (healthcare) , scar tissue , blood loss , uterine rupture , uterus , physical therapy , genetics , nursing , biology
The article presents the results of laparoscopic correction of the failure of uterine scar after a cesarean section operation in 12 patients of reproductive age who are planning another pregnancy and having clinical symptoms that significantly impair the quality of life. The developed by ourselves three-stage reconstructive-plastic surgical program with the laparoscopic access in case of incompetence of the uterine scar contributed to an improvement in the quality of life in all subjects, pregnancy, and childbirth in 41,6% of patients. The use of laparoscopic techniques provided an improved visualization of anatomical structures (vessels, nerves, ureters, bladder), which led to a decrease in intraoperative blood loss, a reduction in the risk of damage to adjacent organs and the development of adhesions, and acceleration of postoperative rehabilitation of patients.