Robotic-assisted laparoscopic supracervical repair of a chronic puerperal uterine inversion

Elsevier

Available online 5 December 2022

Journal of Minimally Invasive GynecologyAuthor links open overlay panelAbstract

Surgical correction of a chronic puerperal uterine inversion traditionally requires an anterior or posterior cervical incision to relieve the constricting band. This case is only the second reported case of robotic-assisted correction of a chronic puerperal uterine inversion, and the first to avoid a cervical incision. The patient was 5 months postpartum and desired future pregnancy. After a laparoscopic Huntington technique was unsuccessful, a vertical hysterotomy was created in the anterior lower uterine segment and extended toward the fundus until the inversion could be relieved. The incision was repaired in three layers and a round ligament plication was performed to provide additional support within the pelvis. The patient's symptoms gradually improved during her post-operative course and ultrasound 2 weeks after the procedure revealed the uterus in anatomical position in the pelvis. With a paucity of reported cases of laparoscopic correction of chronic puerperal uterine inversion, the present case offers a novel surgical approach that maintains cervical integrity and thereby minimizes long-term effects of the procedure on future pregnancies.

Keywords

DaVinci

Hysterotomy

Pregnancy

© 2022 Published by Elsevier Inc. on behalf of AAGL.

留言 (0)

沒有登入
gif