The experience of using metroplasty at uterine scar failure after cesarean section

Relevance. Caesarean section is one of the most common surgical procedures worldwide. Over the past 15 years, the global cesarean section rate has doubled to 21% and continues to increase by 4% annually. Between 2000 and 2015, the rate of abdominal delivery increased across all regions, with the highest prevalence in Latin America and the Caribbean (44.3%) and the lowest in Africa (4.1%). In recent years, Kazakhstan has seen a decline in maternal and perinatal mortality rates. However, the frequency of cesarean sections continues to rise, increasing from 4.6% in 1990 to 23.5% in 2018.

Objective. This study aimed to assess the effectiveness of metroplasty in cases of uterine suture dehiscence to preserve reproductive function.

Materials and methods. The study presents treatment outcomes of 13 patients who underwent cesarean section between January 2020 and April 2023. Their postoperative course was complicated by endometritis and obstetric peritonitis due to uterine suture dehiscence.

Results and discussion. All patients were of reproductive age. Long-term follow-up showed that one patient conceived two years after metroplasty. Her pregnancy progressed without complications, and she successfully delivered.

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