Abstract
Background:
With advancements in surgical techniques and equipment, successful laparoscopic management has been reported in selected cases of iatrogenic uterine perforation. However, management of iatrogenic uterine perforation by laparoendoscopic single-site surgery (LESS) has never been described in a case series.
Cases:
Case 1: In a 36-year-old woman, uterine perforation with omental injury was induced by placenta forceps during evacuation of a retained placenta and managed by LESS hemostatic suturing of the uterine wound, followed by extracorporeal ligation of the injured omental vessels. Case 2: In a 28-year-old woman, uterine perforation without visceral injury was induced by Pean's forceps during unsuccessful removal of an intrauterine device and was managed by hysteroscopic-assisted removal of the device, followed by LESS compression hemostasis of the uterine perforation. Case 3: In a 29-year-old woman, uterine perforation with a small-bowel injury was induced by placenta forceps during removal of a retained placenta and managed by LESS hemostatic suturing of the uterine wound, followed by extracorporeal resection and re-anastomosis of the injured ileum.
Results:
Three cases of iatrogenic uterine perforation during intrauterine manipulation were managed successfully, with no significant surgical complications, by LESS surgery.
Conclusions:
A minimally invasive approach with LESS surgery could be a feasible option for management of iatrogenic uterine perforation.
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