A Case of Cesarean Delivery After Laparoscopic Myomectomy

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  • Matsuura Masahiko
    Department of Obstetrics and Gynecology, Nihon University School of Medicine
  • Aoki Youichi
    Department of Obstetrics and Gynecology, Nihon University School of Medicine
  • Kobayashi Yusuke
    Department of Obstetrics and Gynecology, Nihon University School of Medicine
  • Nakamura Akikazu
    Department of Obstetrics and Gynecology, Nihon University School of Medicine
  • Ichikawa Go
    Department of Obstetrics and Gynecology, Nihon University School of Medicine
  • Yamamoto Tatsuo
    Department of Obstetrics and Gynecology, Nihon University School of Medicine

Bibliographic Information

Other Title
  • 腹腔鏡下筋腫核出術後に帝王切開分娩となった症例
  • 症例報告 腹腔鏡下筋腫核出術後に帝王切開分娩となった症例 : 術後妊娠による子宮破裂のリスク
  • ショウレイ ホウコク フククウキョウ カ キンシュカクシュツジュツゴ ニ テイオウ セッカイ ブンベン ト ナッタ ショウレイ : ジュツゴ ニンシン ニ ヨル シキュウ ハレツ ノ リスク
  • ―術後妊娠による子宮破裂のリスク―
  • -Risk of Uterine Rupture in Pregnancy After Myomectomy-

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Abstract

Laparoscopic myomectomy (LM) is widely performed due to its lower invasiveness, reduced postoperative adhesion, and better postoperative appearance compared to abdominal myomectomy (AM). Thus, cases of pregnancy and delivery after LM are likely to increase, along with an older maternal age at child birth due to later marriages. Uterine rupture is a major complication of pregnancy after myomectomy. Here, we report our experience of a patient who underwent LM at our hospital and then became pregnant and delivered by Cesarean section. Based on this experience, we compared the effects of pregnancy on the surgical wound site after laparoscopic and abdominal myomectomy. The risk of uterine rupture caused by pregnancy may be higher in LM compared to AM, but this risk can be decreased by improved suturing techniques and avoidance of excessive use of diathermy for hemostasis in LM, as currently performed for AM.

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