Laparoscopic re-anastomosis of a uterine avulsion following cold-knife conization.
Surg Technol Int
; 24: 231-5, 2014 Mar.
Article
em En
| MEDLINE
| ID: mdl-24532481
ABSTRACT
This report presents an exceptional case of uterine avulsion following a cold-knife conization, an unprecedented surgical complication of a common gynecological procedure. Furthermore, it describes the outcomes of the conservative laparoscopic reconstruction that was performed. A 30-year-old nulliparous was referred to our department with secondary amenorrhea and cyclic pelvic pain following a cold-knife conization performed 9 months previous in another institution. The patient underwent a diagnostic laparoscopy, which confirmed that the cervix had been completely resected and that the uterine and vaginal cavities were no longer in contact. We performed an end-to-end utero-vaginal anastomosis followed by a prophylactic cerclage. No intraoperative or postoperative complications were observed. One month after surgery the patient was asymptomatic with normal withdrawal bleeding and remained asymptomatic during her 12-month follow-up consult. To our knowledge, this is the first time that this serious complication with a potential for irreversible damage to reproductive function is reported as a complication of cervical conization. Although our conservative surgical correction repaired the anatomy and reestablished menstruation outflow, further follow-up is necessary to confirm the extent to which reproductive function was restored.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Colo do Útero
/
Laparoscopia
/
Conização
Limite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
Surg Technol Int
Ano de publicação:
2014
Tipo de documento:
Article
País de afiliação:
Portugal