THE USE OF METROPLASTY DURING THE THIRD CAESAREAN SECTION: A CLINICAL CASE

Abstract

The increase in the prevalence of delivery by caesarean section around the world leads to an increase in patients who have two or more «scars on the uterus». The frequency of CS in the world averages 30%, which inevitably increases the percentage of complications associated with it. There is no consensus in the modern literature on the technique of delivery in patients who have undergone two or more cesarean section operations. With the growth of caesarean section, the percentage of postoperative complications increases. In modern literature, there is no consensus on the delivery technique for patients with two or more caesarean sections.

Material and methods. Our department was contacted by a patient 37 weeks pregnant, who had a history of cesarean section surgery in 2013 and 2016. During operative delivery, it was decided to perform metroplasty (patent №2790787).

Results. During this pregnancy, the patient was diagnosed with a «niche». The pregnant woman was repeatedly hospitalized with the threat of premature birth. After delivery using the proposed method, no early postoperative complications were noted. 6 months after the operation, ultrasound and magnetic resonance imaging were performed: the «niche» was not diagnosed.

Conclusion. The use of the metroplasty technique makes it possible to reduce postoperative blood loss, the risks of forming a «niche» and subsequent complications associated with this.