Intraoperative complications of uterine scar dehiscence plastic surgery using vaginal access
V.I. EREMKINA, Yu.V. GARIFULLOVA, A.A. КHASANOV
Kazan State Medical University, 49 Butlerov St., Kazan, Russian Federation, 420012
Eremkina V.I. — Cand. Med. Sc., Associate Рrofessor of the Department of Obstetrics and Gynecology № 1, tel.: (843) 236-08-73, 290-34-49, e-mail: ob_gyn@kgmu.kcn.ru
Garifullova Yu.V. — Assistant of the Department of Obstetrics and Gynecology № 1, tel. (843) 236-08-73, e-mail: gamgg@yandex.ru
Кhasanov A.A. — D. Med. Sc., Professor of the Department of Obstetrics and Gynecology № 1, tel. (843) 236-08-73, e-mail: albirkhasanov@mail.ru
The article presents an analysis of intraoperative complications of uterine scar dehiscence plastic surgery using vaginal access. The main complication of this type of surgery is injury to the urinary bladder. The group with high risk of bladder injury include women with history of complicated postoperative period. A clinical case of formation of urinary fistula after plastic surgery of uterine scar with vaginal access is analyzed.
Key words: uterine scar dehiscence on, plastic surgery, vaginal access, intraoperative complications.
REFERENCES
- Bychkov I.V., Shamarin S.V., Bychkov V.I. Fetoplacental system in women with defective uterine scar. Detskaya meditsina Severo—Zapada, 2011, vol. 2, no. 3, pp. 10-12 (in Russ.).
- Akusherstvo. Natsional‘noe rukovodstvo, pod red. E.K. Aylamazyana, V.I. Kulakova, V.E. Radzinskogo, G.M. Savel‘evoy [Obstetrics. National leadership. Ed. by E.K. Ailamazyan, V.I. Kulakov, V.E. Radzinsky, G.M. Saveleva]. Moscow: GEOTAR-Media, 2014. P. 1030.
- Buyanova S.N., Shchukina N.A., Chechneva M.A et al. Modern methods of diagnosis insolvency seams or uterine scar after cesarean section. Rossiyskiy vestnik akushera-ginekologa, 2013, vol. 13, no. 1, pp. 73-7 (in Russ.).
- Pis’mo Ministerstva zdravookhraneniya i sotsial’nogo razvitiya RF ot 24 iyunya 2011 g. № 15-4/10/2-6139 “Kesarevo sechenie v sovremennom akusherstve” [Letter of the Ministry of Health and Social Development of the Russian Federation from June 24, 2011 no. 15-4/10/2-6139 “Caesarean section in modern obstetrics”].
- Eremkina V.I., Garifullova Yu.V. Reconstructive plastic insolvent uterine scar vaginal access outside of pregnancy. Prakticheskaya meditsina, 2014, vol. 1, no. 4 (80), pp. 46-48 (in Russ.).


