Efficacy of well-planned management in patients with incarcerated gravid uterus: A case series and literature review
Objective: Incarcerated gravid uterus is a condition in which uterine myoma and intraperitoneal adhesion lead to persistent uterine retroversion. Accurate diagnosis before cesarean section is crucial so that the procedure can be planned with regard to the spatial relationship between the uterine inc...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-07-01
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| Series: | Taiwanese Journal of Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455921001285 |
| _version_ | 1818738165841657856 |
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| author | Koki Samejima Shigetaka Matsunaga Yasushi Takai Kazunori Baba Hiroyuki Seki Satoru Takeda |
| author_facet | Koki Samejima Shigetaka Matsunaga Yasushi Takai Kazunori Baba Hiroyuki Seki Satoru Takeda |
| author_sort | Koki Samejima |
| collection | DOAJ |
| description | Objective: Incarcerated gravid uterus is a condition in which uterine myoma and intraperitoneal adhesion lead to persistent uterine retroversion. Accurate diagnosis before cesarean section is crucial so that the procedure can be planned with regard to the spatial relationship between the uterine incision and other organs. This study investigated the effects of well-planned management on the outcome of cesarean sections. Materials and methods: Four patients with incarcerated gravid uterus who received well-planned management and preoperative magnetic resonance imaging were compared with three unexpected patients who were operated without preoperative diagnosis. Results: In the preoperatively diagnosed group, compared with the non-preoperatively diagnosed group, the frequency of cervical canal damage tended to be lower (0% vs. 100%), blood loss tended to be less (1171 ± 290 mL vs. 2000 ± 300 mL), and surgery duration tended to be shorter (82 ± 17 min vs. 147 ± 84 min). None of the preoperatively diagnosed cases required allogeneic blood transfusion, and no organ damage was observed. Conclusion: The early detection of a suspected incarcerated uterus, and a thorough understanding of diagnostic methods and the use of preoperative magnetic resonance imaging and ultrasonography facilitate the safe performance of a cesarean section. |
| first_indexed | 2024-12-18T01:04:37Z |
| format | Article |
| id | doaj.art-f1a1422a92a54d48bbf5f1ea122c0b94 |
| institution | Directory Open Access Journal |
| issn | 1028-4559 |
| language | English |
| last_indexed | 2024-12-18T01:04:37Z |
| publishDate | 2021-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj.art-f1a1422a92a54d48bbf5f1ea122c0b942022-12-21T21:26:16ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592021-07-01604679684Efficacy of well-planned management in patients with incarcerated gravid uterus: A case series and literature reviewKoki Samejima0Shigetaka Matsunaga1Yasushi Takai2Kazunori Baba3Hiroyuki Seki4Satoru Takeda5Center for Maternal, Fetal, and Neonatal Medicine, Saitama Medical Center, Saitama Medical University, Kawagoe, JapanCenter for Maternal, Fetal, and Neonatal Medicine, Saitama Medical Center, Saitama Medical University, Kawagoe, Japan; Corresponding author. Center for Maternal, Fetal and Neonatal Medicine, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama 350-8550, Japan. Fax: +81 49 226 1495.Center for Maternal, Fetal, and Neonatal Medicine, Saitama Medical Center, Saitama Medical University, Kawagoe, JapanCenter for Maternal, Fetal, and Neonatal Medicine, Saitama Medical Center, Saitama Medical University, Kawagoe, JapanCenter for Maternal, Fetal, and Neonatal Medicine, Saitama Medical Center, Saitama Medical University, Kawagoe, JapanDepartment of Obstetrics and Gynecology, Juntendo University Faculty of Medicine, Tokyo, JapanObjective: Incarcerated gravid uterus is a condition in which uterine myoma and intraperitoneal adhesion lead to persistent uterine retroversion. Accurate diagnosis before cesarean section is crucial so that the procedure can be planned with regard to the spatial relationship between the uterine incision and other organs. This study investigated the effects of well-planned management on the outcome of cesarean sections. Materials and methods: Four patients with incarcerated gravid uterus who received well-planned management and preoperative magnetic resonance imaging were compared with three unexpected patients who were operated without preoperative diagnosis. Results: In the preoperatively diagnosed group, compared with the non-preoperatively diagnosed group, the frequency of cervical canal damage tended to be lower (0% vs. 100%), blood loss tended to be less (1171 ± 290 mL vs. 2000 ± 300 mL), and surgery duration tended to be shorter (82 ± 17 min vs. 147 ± 84 min). None of the preoperatively diagnosed cases required allogeneic blood transfusion, and no organ damage was observed. Conclusion: The early detection of a suspected incarcerated uterus, and a thorough understanding of diagnostic methods and the use of preoperative magnetic resonance imaging and ultrasonography facilitate the safe performance of a cesarean section.http://www.sciencedirect.com/science/article/pii/S1028455921001285Cesarean sectionIncarcerated gravid uterusOrgan damagePostpartum hemorrhageRetroverted uterus |
| spellingShingle | Koki Samejima Shigetaka Matsunaga Yasushi Takai Kazunori Baba Hiroyuki Seki Satoru Takeda Efficacy of well-planned management in patients with incarcerated gravid uterus: A case series and literature review Taiwanese Journal of Obstetrics & Gynecology Cesarean section Incarcerated gravid uterus Organ damage Postpartum hemorrhage Retroverted uterus |
| title | Efficacy of well-planned management in patients with incarcerated gravid uterus: A case series and literature review |
| title_full | Efficacy of well-planned management in patients with incarcerated gravid uterus: A case series and literature review |
| title_fullStr | Efficacy of well-planned management in patients with incarcerated gravid uterus: A case series and literature review |
| title_full_unstemmed | Efficacy of well-planned management in patients with incarcerated gravid uterus: A case series and literature review |
| title_short | Efficacy of well-planned management in patients with incarcerated gravid uterus: A case series and literature review |
| title_sort | efficacy of well planned management in patients with incarcerated gravid uterus a case series and literature review |
| topic | Cesarean section Incarcerated gravid uterus Organ damage Postpartum hemorrhage Retroverted uterus |
| url | http://www.sciencedirect.com/science/article/pii/S1028455921001285 |
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