Successful management of the recurrent uterine rupture after the uterine septum resection

Uterine septum is associated with an increased rate of recurrent miscarriages which can be reduced significantly by performing endoscopic resection. Perinatal outcome improvement due to resection is favorable but still remains controversial. Uterine rupture is a late complication of hysteroscopic su...

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Main Authors: Taner Kasapoglu, Dila Kasapoglu, Ozgur Deren
Format: Article
Language:English
Published: Elsevier 2015-10-01
Series:Case Reports in Women's Health
Online Access:http://www.sciencedirect.com/science/article/pii/S2214911215300096
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author Taner Kasapoglu
Dila Kasapoglu
Ozgur Deren
author_facet Taner Kasapoglu
Dila Kasapoglu
Ozgur Deren
author_sort Taner Kasapoglu
collection DOAJ
description Uterine septum is associated with an increased rate of recurrent miscarriages which can be reduced significantly by performing endoscopic resection. Perinatal outcome improvement due to resection is favorable but still remains controversial. Uterine rupture is a late complication of hysteroscopic surgery that may be a life-threatening condition in terms of perinatal and maternal morbidity–mortality. This article presents the first case of the related literature dealing with the successful management of the third recurrent uterine rupture in the 31st week of pregnancy subsequent to the hysteroscopic resection of uterine septum. The patient observed in this article had experienced uterine rupture twice; firstly, in the 27th week of pregnancy resulted with postpartum exitus and secondly, in the 29th week of pregnancy that ended with stillbirth while her last pregnancy eventuated in a live healthy birth. Surgeons who accomplish these hysteroscopic procedures must weigh out pros and cons; and must also acquaint their patients with the probable risk of recurrent and multiple uterine ruptures during the subsequent pregnancy. Keywords: Recurrent miscarriage, Uterine malformation, Uterine septum, Hysteroscopic resection, Uterine rupture in subsequent pregnancy, Resectoscope, Recurrent uterine rupture
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spelling doaj.art-81ac734ec6ae4cd6988d8014301b6a282022-12-21T22:07:00ZengElsevierCase Reports in Women's Health2214-91122015-10-0181316Successful management of the recurrent uterine rupture after the uterine septum resectionTaner Kasapoglu0Dila Kasapoglu1Ozgur Deren2Department of Obstetrics and Gynecology, Hacettepe University, Faculty of Medicine, Turkey; Corresponding author at: Department of Obstetrics and Gynecology, Hacettepe University, Faculty of Medicine, Sıhhiye, 06100 Ankara, Turkey.Department of Obstetrics and Gynecology, Hacettepe University, Faculty of Medicine, TurkeyMaternal-Fetal Medicine Unit, Department of Obstetrics and Gynecology, Hacettepe University, Faculty of Medicine, TurkeyUterine septum is associated with an increased rate of recurrent miscarriages which can be reduced significantly by performing endoscopic resection. Perinatal outcome improvement due to resection is favorable but still remains controversial. Uterine rupture is a late complication of hysteroscopic surgery that may be a life-threatening condition in terms of perinatal and maternal morbidity–mortality. This article presents the first case of the related literature dealing with the successful management of the third recurrent uterine rupture in the 31st week of pregnancy subsequent to the hysteroscopic resection of uterine septum. The patient observed in this article had experienced uterine rupture twice; firstly, in the 27th week of pregnancy resulted with postpartum exitus and secondly, in the 29th week of pregnancy that ended with stillbirth while her last pregnancy eventuated in a live healthy birth. Surgeons who accomplish these hysteroscopic procedures must weigh out pros and cons; and must also acquaint their patients with the probable risk of recurrent and multiple uterine ruptures during the subsequent pregnancy. Keywords: Recurrent miscarriage, Uterine malformation, Uterine septum, Hysteroscopic resection, Uterine rupture in subsequent pregnancy, Resectoscope, Recurrent uterine rupturehttp://www.sciencedirect.com/science/article/pii/S2214911215300096
spellingShingle Taner Kasapoglu
Dila Kasapoglu
Ozgur Deren
Successful management of the recurrent uterine rupture after the uterine septum resection
Case Reports in Women's Health
title Successful management of the recurrent uterine rupture after the uterine septum resection
title_full Successful management of the recurrent uterine rupture after the uterine septum resection
title_fullStr Successful management of the recurrent uterine rupture after the uterine septum resection
title_full_unstemmed Successful management of the recurrent uterine rupture after the uterine septum resection
title_short Successful management of the recurrent uterine rupture after the uterine septum resection
title_sort successful management of the recurrent uterine rupture after the uterine septum resection
url http://www.sciencedirect.com/science/article/pii/S2214911215300096
work_keys_str_mv AT tanerkasapoglu successfulmanagementoftherecurrentuterineruptureaftertheuterineseptumresection
AT dilakasapoglu successfulmanagementoftherecurrentuterineruptureaftertheuterineseptumresection
AT ozgurderen successfulmanagementoftherecurrentuterineruptureaftertheuterineseptumresection