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Vimercati A, Del Vecchio V, Chincoli A, et al. Uterine Rupture after Laparoscopic Myomectomy in Two Cases: Real Complication or Malpractice?. Case Rep Obstet Gynecol. 2017;2017:1404815doi: 10.1155/2017/1404815.
Vimercati, A., Del Vecchio, V., Chincoli, A., Malvasi, A., & Cicinelli, E. (2017). Uterine Rupture after Laparoscopic Myomectomy in Two Cases: Real Complication or Malpractice?. Case reports in obstetrics and gynecology, 20171404815. https://doi.org/10.1155/2017/1404815
Vimercati, Antonella, et al. "Uterine Rupture after Laparoscopic Myomectomy in Two Cases: Real Complication or Malpractice?." Case reports in obstetrics and gynecology vol. 2017 (2017): 1404815. doi: https://doi.org/10.1155/2017/1404815
Vimercati A, Del Vecchio V, Chincoli A, Malvasi A, Cicinelli E. Uterine Rupture after Laparoscopic Myomectomy in Two Cases: Real Complication or Malpractice?. Case Rep Obstet Gynecol. 2017;2017:1404815. doi: 10.1155/2017/1404815. Epub 2017 Dec 20. PMID: 29423325; PMCID: PMC5750492.
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Case Rep Obstet Gynecol. 2017;2017:1404815. doi: 10.1155/2017/1404815. Epub 2017 Dec 20.

Uterine Rupture after Laparoscopic Myomectomy in Two Cases: Real Complication or Malpractice?.

Case reports in obstetrics and gynecology

Antonella Vimercati, Vittoria Del Vecchio, Annarosa Chincoli, Antonio Malvasi, Ettore Cicinelli

Affiliations

  1. Department of Biomedical and Human Oncological Science (DIMO), 2nd Unit of Obstetrics and Gynaecology, University of Bari, Bari, Italy.
  2. Santa Maria Hospital, GVM Care & Research, Bari, Italy.

PMID: 29423325 PMCID: PMC5750492 DOI: 10.1155/2017/1404815

Abstract

We describe two cases of uterine rupture in pregnancy after laparoscopic myomectomy and analyze all the aetiological factors involved in this circumstance according to the recent literature, focusing above all on the surgical procedures and the characteristics of the excised myomas. The two cases of uterine rupture in pregnancy following laparoscopic myomectomy occurred at 36 and 18 weeks of gestation, respectively. Both women had undergone laparoscopic multiple myomectomy and uterine rupture occurred along the isthmic myomectomy scars, despite the fact that compliance with all the recent technical surgical recommendations for the previous laparoscopic multiple myomectomy had been fully observed. In our cases we identified the isthmic localization, size of the excised myomas (≥4 cm), and individual characteristics of the healing process as possible risk factors for "a real complication." Larger studies and robust case-control analyses are needed to draw reliable conclusions; special care should be paid when performing laparoscopic myomectomy in women planning a later pregnancy.

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