PMID- 36433868
OWN - NLM
STAT- MEDLINE
DCOM- 20230518
LR  - 20230518
IS  - 1879-3479 (Electronic)
IS  - 0020-7292 (Linking)
VI  - 161
IP  - 3
DP  - 2023 Jun
TI  - Repair of uterine rupture following vaginal delivery: A comparison between 
      minimally invasive and open repair.
PG  - 942-948
LID - 10.1002/ijgo.14590 [doi]
AB  - OBJECTIVE: To compare operative data and patient satisfaction between open and 
      laparoscopic surgery for postpartum-diagnosed uterine rupture. METHODS: In this 
      questionnaire-based cohort study, the authors collected all cases of 
      postpartum-diagnosed uterine rupture after vaginal delivery between 2016 and 2020 
      in a single academic tertiary center. The cohort was divided according to 
      surgical method of repair, and demographic, clinical, operative and postoperative 
      data were collected and compared between groups. A phone questionnaire on various 
      satisfaction domains was conducted and satisfaction rates were compared between 
      groups. RESULTS: Eight cases of uterine rupture following vaginal delivery were 
      treated by laparoscopy and eight were treated by laparotomy. The median operative 
      time was 103 min (interquartile range [IQR], 86.3-129.0 min) for the laparoscopy 
      group and 61 min (IQR, 59.0-75.0 min) for the laparotomy group (P = 0.04). Blood 
      transfusion was required in 25% of women who underwent laparoscopy, as compared 
      with 88% of women who underwent laparotomy (P = 0.01 < 0.05). Median 
      hospitalization time was 3 days (IQR, 3-4 days) in the laparoscopy group and 
      4 days (IQR, 4-4 days) in the laparotomy group (P = 0.2). Overall satisfaction, 
      satisfaction from recovery, satisfaction from scars, satisfaction from ability to 
      care for the neonate, and postoperative pain and mood were all improved in the 
      laparoscopy group, as compared with the laparotomy group. CONCLUSION: Minimally 
      invasive surgery is a viable surgical option for patients with uterine rupture 
      diagnosed after vaginal delivery and may result in better patient recovery and 
      satisfaction.
CI  - (c) 2022 International Federation of Gynecology and Obstetrics.
FAU - Stern, Shira
AU  - Stern S
AUID- ORCID: 0000-0002-6908-0980
AD  - Department of Obstetrics and Gynecology, Hadassah-Hebrew University Medical 
      Center, Jerusalem, Israel.
FAU - Lessans, Naama
AU  - Lessans N
AD  - Department of Obstetrics and Gynecology, Hadassah-Hebrew University Medical 
      Center, Jerusalem, Israel.
FAU - Shveiky, David
AU  - Shveiky D
AD  - Department of Obstetrics and Gynecology, Hadassah-Hebrew University Medical 
      Center, Jerusalem, Israel.
FAU - Saar, Tal D
AU  - Saar TD
AD  - Department of Obstetrics and Gynecology, Hadassah-Hebrew University Medical 
      Center, Jerusalem, Israel.
FAU - Tevet, Aharon
AU  - Tevet A
AD  - Department of Obstetrics and Gynecology, Hadassah-Hebrew University Medical 
      Center, Jerusalem, Israel.
FAU - Dior, Uri P
AU  - Dior UP
AD  - Department of Obstetrics and Gynecology, Hadassah-Hebrew University Medical 
      Center, Jerusalem, Israel.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20221209
PL  - United States
TA  - Int J Gynaecol Obstet
JT  - International journal of gynaecology and obstetrics: the official organ of the 
      International Federation of Gynaecology and Obstetrics
JID - 0210174
SB  - IM
MH  - Humans
MH  - Adult
MH  - Female
MH  - *Uterine Rupture/etiology/surgery
MH  - *Delivery, Obstetric/adverse effects
MH  - Pregnancy
MH  - *Laparotomy/methods
MH  - *Laparoscopy/methods
MH  - Retrospective Studies
MH  - Cohort Studies
MH  - Minimally Invasive Surgical Procedures
MH  - Treatment Outcome
OTO - NOTNLM
OT  - laparoscopy
OT  - laparotomy
OT  - uterine rupture
EDAT- 2022/11/27 06:00
MHDA- 2023/05/17 06:42
CRDT- 2022/11/26 08:33
PHST- 2022/11/15 00:00 [revised]
PHST- 2022/07/29 00:00 [received]
PHST- 2022/11/22 00:00 [accepted]
PHST- 2023/05/17 06:42 [medline]
PHST- 2022/11/27 06:00 [pubmed]
PHST- 2022/11/26 08:33 [entrez]
AID - 10.1002/ijgo.14590 [doi]
PST - ppublish
SO  - Int J Gynaecol Obstet. 2023 Jun;161(3):942-948. doi: 10.1002/ijgo.14590. Epub 
      2022 Dec 9.