IMR Press / CEOG / Volume 31 / Issue 2 / pii/2004039

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Case Report

Uterine necrosis after laparoscopic uterine vessel dissection for symptomatic fibroid - A case report

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1 Department of Obstetrics and Gynecology, Endoscopic Training Center (Czech Republic)
2 Department of Histopathology, Baby Friendly Hospital, Kladno (Czech Republic)
Clin. Exp. Obstet. Gynecol. 2004, 31(2), 149–150;
Published: 10 June 2004
Abstract

Laparoscopic dissection of uterine vessels is a new minimally invasive method to treat symptomatic fibroids. A potential com­plication of uterine artery dissection is uterine necrosis. A woman with a large intramural fibroid underwent laparoscopic dissection of the uterine vessels using ultrasonic activated shears and three months later developed focal uterine necrosis requiring exploratory laparotomy and supracervical hysterectomy. Although uterine artery coagulation and dissection are procedures with a low reported rate of complications, uterine fisbroid or focal uterine necrosis can occur.

Keywords
Laparoscopy
Uterine artery dissection
Fibroid
Uterine necrosis
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