Perforation of the Pregnant Uterus during Laparoscopy for Suspected Internal Herniation after Gastric Bypass
We report perforations of a pregnant uterus during laparoscopy for suspected internal herniation after gastric bypass at 24 weeks of gestation. Abdominal access and gas insufflation were achieved by the use of a 12 mm optic trocar. An additional 5 mm trocar was positioned. The perforations were hand...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2014-01-01
|
| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2014/720181 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850171353721733120 |
|---|---|
| author | T. Mala N. K. Harsem S. Røstad L. C. Mathisen A. F. Jacobsen |
| author_facet | T. Mala N. K. Harsem S. Røstad L. C. Mathisen A. F. Jacobsen |
| author_sort | T. Mala |
| collection | DOAJ |
| description | We report perforations of a pregnant uterus during laparoscopy for suspected internal herniation after gastric bypass at 24 weeks of gestation. Abdominal access and gas insufflation were achieved by the use of a 12 mm optic trocar. An additional 5 mm trocar was positioned. The perforations were handled by suturing following laparotomy and mobilisation of the high located uterus. The uterine fundus was located in the subcostal area. Internal herniation was not verified. A cesarean section was made 6 weeks later due to acute low abdominal pain. During delivery the uterus was found normal. At 5 months of age the child has developed normal and seems healthy. Optical trocars should be used with caution for abdominal access during laparoscopy in pregnancy. Open access should probably be preferred in most cases. Accidental perforations of the uterine cavity may be handled in selected cases with simple closure even following the use of large trocars under close postoperative surveillance throughout the pregnancy. |
| format | Article |
| id | doaj-art-9cfcf93abcec4c64bcaec9d3be0886fd |
| institution | OA Journals |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-9cfcf93abcec4c64bcaec9d3be0886fd2025-08-20T02:20:18ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922014-01-01201410.1155/2014/720181720181Perforation of the Pregnant Uterus during Laparoscopy for Suspected Internal Herniation after Gastric BypassT. Mala0N. K. Harsem1S. Røstad2L. C. Mathisen3A. F. Jacobsen4Department of Gastroenterologic Surgery, Oslo University Hospital, Pb 4950 Nydalen, 0424 Oslo, NorwayDepartment of Gynecology and Obstetrics, Oslo University Hospital, 4950 Oslo, NorwayDepartment of Gastroenterologic Surgery, Oslo University Hospital, Pb 4950 Nydalen, 0424 Oslo, NorwayDepartment of Anaesthesiology, Oslo University Hospital, 4950 Oslo, NorwayDepartment of Gynecology and Obstetrics, Oslo University Hospital, 4950 Oslo, NorwayWe report perforations of a pregnant uterus during laparoscopy for suspected internal herniation after gastric bypass at 24 weeks of gestation. Abdominal access and gas insufflation were achieved by the use of a 12 mm optic trocar. An additional 5 mm trocar was positioned. The perforations were handled by suturing following laparotomy and mobilisation of the high located uterus. The uterine fundus was located in the subcostal area. Internal herniation was not verified. A cesarean section was made 6 weeks later due to acute low abdominal pain. During delivery the uterus was found normal. At 5 months of age the child has developed normal and seems healthy. Optical trocars should be used with caution for abdominal access during laparoscopy in pregnancy. Open access should probably be preferred in most cases. Accidental perforations of the uterine cavity may be handled in selected cases with simple closure even following the use of large trocars under close postoperative surveillance throughout the pregnancy.http://dx.doi.org/10.1155/2014/720181 |
| spellingShingle | T. Mala N. K. Harsem S. Røstad L. C. Mathisen A. F. Jacobsen Perforation of the Pregnant Uterus during Laparoscopy for Suspected Internal Herniation after Gastric Bypass Case Reports in Obstetrics and Gynecology |
| title | Perforation of the Pregnant Uterus during Laparoscopy for Suspected Internal Herniation after Gastric Bypass |
| title_full | Perforation of the Pregnant Uterus during Laparoscopy for Suspected Internal Herniation after Gastric Bypass |
| title_fullStr | Perforation of the Pregnant Uterus during Laparoscopy for Suspected Internal Herniation after Gastric Bypass |
| title_full_unstemmed | Perforation of the Pregnant Uterus during Laparoscopy for Suspected Internal Herniation after Gastric Bypass |
| title_short | Perforation of the Pregnant Uterus during Laparoscopy for Suspected Internal Herniation after Gastric Bypass |
| title_sort | perforation of the pregnant uterus during laparoscopy for suspected internal herniation after gastric bypass |
| url | http://dx.doi.org/10.1155/2014/720181 |
| work_keys_str_mv | AT tmala perforationofthepregnantuterusduringlaparoscopyforsuspectedinternalherniationaftergastricbypass AT nkharsem perforationofthepregnantuterusduringlaparoscopyforsuspectedinternalherniationaftergastricbypass AT srøstad perforationofthepregnantuterusduringlaparoscopyforsuspectedinternalherniationaftergastricbypass AT lcmathisen perforationofthepregnantuterusduringlaparoscopyforsuspectedinternalherniationaftergastricbypass AT afjacobsen perforationofthepregnantuterusduringlaparoscopyforsuspectedinternalherniationaftergastricbypass |