Sarsembayev Mukhit, Shikanova Svetlana, Karimova Bakyt, Mukhambetalyeva Gulmira, Abdelazim Ibrahim A
Department of Obstetrics and Gynecology №1, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan.
Department of Obstetrics and Gynecology, Ain Shams University, Cairo, Egypt.
Gynecol Minim Invasive Ther. 2020 Aug 1;9(3):159-161. doi: 10.4103/GMIT.GMIT_42_19. eCollection 2020 Jul-Sep.
The most common sutures used for uterine suturing during cesarean section (CS) are vicryl and/or chromic catgut. The sutures' chemistry and polymer morphology alter sutures' performance and absorption. If the sutures used during CS undergo inappropriate hydrolysis and absorption, the retained intrauterine sutures may cause intrauterine inflammations with subsequent abnormal uterine bleeding (AUB) and/or infertility. This report represents a rare case report of retained intrauterine sutures for 6 years after previous CS, which were incised and released from its attachment to the uterine wall using operative hysteroscopy. This report highlights that the retained intrauterine sutures may interfere with sperm transport and implantation and act as a foreign body with subsequent intrauterine inflammation and infertility. In addition, the report highlights the role of a hysteroscopy as the gold standard for uterine cavity assessment in women presented with AUB and/or infertility.
剖宫产（CS）时用于子宫缝合的最常用缝线是薇乔线和/或铬制肠线。缝线的化学性质和聚合物形态会改变缝线的性能和吸收情况。如果剖宫产时使用的缝线发生不适当的水解和吸收，残留的子宫内缝线可能会引发子宫内炎症，继而导致异常子宫出血（AUB）和/或不孕。本报告呈现了一例罕见病例，一名患者在既往剖宫产术后6年子宫内仍残留缝线，通过手术宫腔镜检查将其从子宫壁附着处切开并取出。本报告强调，残留的子宫内缝线可能会干扰精子运输和着床，并作为异物引发子宫内炎症和不孕。此外，该报告突出了宫腔镜检查在诊断出现AUB和/或不孕的女性子宫腔情况时作为金标准的作用。
