Uterine Rupture During Labor in a Patient that Had Undergone Repetitive Uncomplicated Hysteroscopic Metroplasty

Authors

  • Bülent Haydardedeoğlu Baskent Uninersity Deparment of Obstetrics and Gynecology Division of Reproductive Endocrinology and IVF Unit. Ankara
  • Seda Yüksel Baskent Uninersity Deparment of Obstetrics and Gynecology Division of Reproductive Endocrinology and IVF Unit. Ankara
  • Ayşe Parlakgümüş Baskent Uninersity Deparment of Obstetrics and Gynecology Division of Reproductive Endocrinology and IVF Unit. Ankara
  • Esra Kılıçdağ Baskent Uninersity Deparment of Obstetrics and Gynecology Division of Reproductive Endocrinology and IVF Unit. Ankara
  • Tayfun Bağış Baskent Uninersity Deparment of Obstetrics and Gynecology Division of Reproductive Endocrinology and IVF Unit. Ankara

Keywords:

Hysteroscopy, Metroplasty, Uterine rupture, Uterine septum

Abstract

Hysteroscopic surgery when performed by a well-trained hysteroscopic surgeon is a safe procedure with an overall complication rate of 3%, and the complications comprise uterine perforation, excessive hemorrhage, air embolus, pulmonary edema, excessive glycine absorption, and infection. After hysteroscopic septum resection, a remnant uterine septum might be visualized on control hysterosalpingography or control hysteroscopy. Kormanyos et al. observed a remnant uterine septum in 38% of patients after initial hysteroscopic metroplasty. In our case hysteroscopy was performed twice without complications. We used two different techniques in the same patient; the first involved a resectoscope with a
unipolar electrode and the second involved a Versapoint with a bipolar electrode. Although these two operation types appear to be similar, hysteroscopic metroplasty with Versapoint is a safe and effective alternative to the operative resectoscope. Our case demonstrates a rare but dramatic complication of hysteroscopic metroplasty. Uterine perforation during hysteroscopic metroplasty is accepted as a risk factor
for uterine rupture in pregnancy. The extensive enlargement of the uterus during pregnancy might be a reasonable cause of uterine rupture in patients that have undergone hysteroscopic metroplasty previously.

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Published

2011-04-09

How to Cite

1.
Haydardedeoğlu B, Yüksel S, Parlakgümüş A, Kılıçdağ E, Bağış T. Uterine Rupture During Labor in a Patient that Had Undergone Repetitive Uncomplicated Hysteroscopic Metroplasty. Gynecol Obstet Reprod Med [Internet]. 2011Apr.9 [cited 2024Mar.28];17(1):51-4. Available from: https://www.gorm.com.tr/index.php/GORM/article/view/289

Issue

Section

Case Reports