Abdelazim Ibrahim A
Department of Obstetrics and Gynecology, Ain Shams University, Cairo, Egypt.
Department of Obstetrics and Gynecology, Ahmadi Hospital, Kuwait Oil Company, Ahmadi, Kuwait.
J Family Med Prim Care. 2019 Sep 30;8(9):3022-3024. doi: 10.4103/jfmpc.jfmpc_556_19. eCollection 2019 Sep.
The cesarean sections (CSs) rates increased worldwide (32.9% in the United States 2009). CS scar dehiscence (CSSD) is one of the complications encountered after cesarean delivery due to disruption of the scar tissue of the previous CS. CSSD is a risk factor of uterine rupture during trial of labor after previous CS. A 32-year-old woman, previous 3 CSs, admitted to the Obstetrics and Gynecology department of Ahmadi hospital, Kuwait, for elective CS. During the elective CS, the scars of previous CSs were complete dehiscent through its whole length with missing anterior uterine wall leaving visible fetal membranes underneath. This report represents a case of complete CSSD encountered during elective CS and the suggested I. Abdelazim technique for repair of dehiscent previous cesarean section scars encountered during elective CSs.
剖宫产率在全球范围内呈上升趋势（2009年美国为32.9%）。剖宫产瘢痕裂开（CSSD）是剖宫产术后因既往剖宫产瘢痕组织破裂而出现的并发症之一。CSSD是既往剖宫产术后试产期间子宫破裂的一个危险因素。一名32岁女性，既往有3次剖宫产史，因择期剖宫产入住科威特艾哈迈迪医院妇产科。在择期剖宫产术中，既往剖宫产瘢痕全长完全裂开，子宫前壁缺失，下方可见胎膜。本报告介绍了一例择期剖宫产术中遇到的完全性CSSD病例，以及建议的I. 阿卜杜勒阿齐姆技术，用于修复择期剖宫产术中遇到的既往剖宫产裂开瘢痕。
