Kacperczyk Joanna, Bartnik Paweł, Romejko-Wolniewicz Ewa, Dobrowolska-Redo Agnieszka
Students' Scientific Group affiliated to the Second Department of Obstetrics and Gynecology, Medical University of Warsaw, Warsaw, Poland
Students' Scientific Group affiliated to the Second Department of Obstetrics and Gynecology, Medical University of Warsaw, Warsaw, Poland.
Anticancer Res. 2016 Mar;36(3):1011-3.
Uterine fibroids (leiomyomas) are benign smooth muscle tumors of the uterus. Fibroids can develop anywhere within the muscular wall. Leiomyomas may be associated with infertility. Laparoscopic myomectomy is often used to remove symptomatic intramural or subserosal fibroids. Advantages of the procedure include short recovery time and minimal perioperative morbidity. At the same time, the multilayer suture technique is more complicated during laparoscopy. A rare but serious complication of laparoscopic myomectomies is uterine rupture. A brief review of the literature and a clinical example of a 33-year-old woman with history of infertility, laparoscopic myomectomies and uterine rupture followed by peripartum hemorrhage is presented. The treatment of leiomyomas is a challenge not only because of possible recurrence but also due to long-term consequences following successful myomectomy. Management of patients with uterine scars should include careful planning of the route of delivery, as the risk of rupture may be increased.
子宫肌瘤（平滑肌瘤）是子宫的良性平滑肌肿瘤。肌瘤可在肌壁内任何部位生长。平滑肌瘤可能与不孕有关。腹腔镜子宫肌瘤切除术常用于切除有症状的肌壁间或浆膜下肌瘤。该手术的优点包括恢复时间短和围手术期发病率低。同时，腹腔镜手术中的多层缝合技术更为复杂。腹腔镜子宫肌瘤切除术一种罕见但严重的并发症是子宫破裂。本文简要回顾了文献，并给出了一个临床实例，患者为一名33岁女性，有不孕史、接受过腹腔镜子宫肌瘤切除术且发生子宫破裂，随后出现产后出血。子宫肌瘤的治疗是一项挑战，不仅因为可能复发，还因为肌瘤切除成功后的长期后果。子宫有瘢痕的患者管理应包括仔细规划分娩途径，因为破裂风险可能会增加。
