There has been a rise in lower segment caesarean sections in modern obstetrics with the prevalence being 21.5% in India according to NFHS-5. With the rise in LSCS, there has been also been a rise in risks and complications associated with it. We are going to discuss one such complication of infected uterine incisional necrosis and dehiscence after caesarean delivery, and a brief review of risk factors, pathophysiology and the management of this postpartum complication. Diagnosis can be done using methods such as ultrasonography, magnetic resonance imaging, and computer-aided tomography. Treatment includes resuturing the uterine incision line, hysterectomy, or conservative treatment accompanied by broad-spectrum antibiotics administration. We evaluated 2 cases one of which presented as puerperal sepsis and was diagnosed with the help of USG and CT and was surgically managed by debridement of infected and necrosed tissue and reconstruction of uterine rent along with broad spectrum antibiotics. The other case presented to us as puerperal sepsis, secondary post-partum hemorrhage and acute kidney injury that was diagnosed by ultrasound as a dehiscent scar postpartum after caesarean section and was managed surgically by obstetric hysterectomy. Both the cases were high risk and required prompt diagnosis and management. A study of various presentation of post caesarean uterine scar dehiscence and the methods of management is been discussed so as to aid in prompt diagnosis and appropriate management can be done with good outcomes. Post Ceaserean uterine scar dehiscence can be managed conservatively or surgically, tailored to the patient attributes with a good outcome.
| Published in | Journal of Gynecology and Obstetrics (Volume 10, Issue 4) |
| DOI | 10.11648/j.jgo.20221004.12 |
| Page(s) | 176-182 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2022. Published by Science Publishing Group |
Uterine Scar Dehiscence, Puerperal Sepsis, Postpartum Haemorrhage, Uterine Necrosis, Puerperal Pyrexia, Heavy Vaginal Bleeding Postpartum, Post Caesarean Uterine Scar Dehiscence, Complications of Caesarean Section
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APA Style
Gunjan Bahuguna, Naheeda Shaikh, Ashok Anand, Pratyasha Swain, Rajashree Thatikonda. (2022). Post Caesarean Uterine Scar Dehiscence: A Case Report and a Short Review of Literature. Journal of Gynecology and Obstetrics, 10(4), 176-182. https://doi.org/10.11648/j.jgo.20221004.12
ACS Style
Gunjan Bahuguna; Naheeda Shaikh; Ashok Anand; Pratyasha Swain; Rajashree Thatikonda. Post Caesarean Uterine Scar Dehiscence: A Case Report and a Short Review of Literature. J. Gynecol. Obstet. 2022, 10(4), 176-182. doi: 10.11648/j.jgo.20221004.12
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Download@article{10.11648/j.jgo.20221004.12,
author = {Gunjan Bahuguna and Naheeda Shaikh and Ashok Anand and Pratyasha Swain and Rajashree Thatikonda},
title = {Post Caesarean Uterine Scar Dehiscence: A Case Report and a Short Review of Literature},
journal = {Journal of Gynecology and Obstetrics},
volume = {10},
number = {4},
pages = {176-182},
doi = {10.11648/j.jgo.20221004.12},
url = {https://doi.org/10.11648/j.jgo.20221004.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20221004.12},
abstract = {There has been a rise in lower segment caesarean sections in modern obstetrics with the prevalence being 21.5% in India according to NFHS-5. With the rise in LSCS, there has been also been a rise in risks and complications associated with it. We are going to discuss one such complication of infected uterine incisional necrosis and dehiscence after caesarean delivery, and a brief review of risk factors, pathophysiology and the management of this postpartum complication. Diagnosis can be done using methods such as ultrasonography, magnetic resonance imaging, and computer-aided tomography. Treatment includes resuturing the uterine incision line, hysterectomy, or conservative treatment accompanied by broad-spectrum antibiotics administration. We evaluated 2 cases one of which presented as puerperal sepsis and was diagnosed with the help of USG and CT and was surgically managed by debridement of infected and necrosed tissue and reconstruction of uterine rent along with broad spectrum antibiotics. The other case presented to us as puerperal sepsis, secondary post-partum hemorrhage and acute kidney injury that was diagnosed by ultrasound as a dehiscent scar postpartum after caesarean section and was managed surgically by obstetric hysterectomy. Both the cases were high risk and required prompt diagnosis and management. A study of various presentation of post caesarean uterine scar dehiscence and the methods of management is been discussed so as to aid in prompt diagnosis and appropriate management can be done with good outcomes. Post Ceaserean uterine scar dehiscence can be managed conservatively or surgically, tailored to the patient attributes with a good outcome.},
year = {2022}
}
TY - JOUR T1 - Post Caesarean Uterine Scar Dehiscence: A Case Report and a Short Review of Literature AU - Gunjan Bahuguna AU - Naheeda Shaikh AU - Ashok Anand AU - Pratyasha Swain AU - Rajashree Thatikonda Y1 - 2022/07/13 PY - 2022 N1 - https://doi.org/10.11648/j.jgo.20221004.12 DO - 10.11648/j.jgo.20221004.12 T2 - Journal of Gynecology and Obstetrics JF - Journal of Gynecology and Obstetrics JO - Journal of Gynecology and Obstetrics SP - 176 EP - 182 PB - Science Publishing Group SN - 2376-7820 UR - https://doi.org/10.11648/j.jgo.20221004.12 AB - There has been a rise in lower segment caesarean sections in modern obstetrics with the prevalence being 21.5% in India according to NFHS-5. With the rise in LSCS, there has been also been a rise in risks and complications associated with it. We are going to discuss one such complication of infected uterine incisional necrosis and dehiscence after caesarean delivery, and a brief review of risk factors, pathophysiology and the management of this postpartum complication. Diagnosis can be done using methods such as ultrasonography, magnetic resonance imaging, and computer-aided tomography. Treatment includes resuturing the uterine incision line, hysterectomy, or conservative treatment accompanied by broad-spectrum antibiotics administration. We evaluated 2 cases one of which presented as puerperal sepsis and was diagnosed with the help of USG and CT and was surgically managed by debridement of infected and necrosed tissue and reconstruction of uterine rent along with broad spectrum antibiotics. The other case presented to us as puerperal sepsis, secondary post-partum hemorrhage and acute kidney injury that was diagnosed by ultrasound as a dehiscent scar postpartum after caesarean section and was managed surgically by obstetric hysterectomy. Both the cases were high risk and required prompt diagnosis and management. A study of various presentation of post caesarean uterine scar dehiscence and the methods of management is been discussed so as to aid in prompt diagnosis and appropriate management can be done with good outcomes. Post Ceaserean uterine scar dehiscence can be managed conservatively or surgically, tailored to the patient attributes with a good outcome. VL - 10 IS - 4 ER -
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