Uterine-conserving surgery due to uterine rupture

The article is professionally consulted by an Obstetrician and Gynecologist - Department of Obstetrics and Gynecology - Vinmec Phu Quoc International General Hospital

Uterine rupture is a condition in which the layers of the uterus rupture without surgery. Uterine rupture is often accompanied by bleeding, sometimes with partial or complete pushing of the fetus into the abdomen.
Uterine rupture is divided into 4 different levels, including:
Complete uterine rupture: A condition in which all layers of the peritoneum, muscles, and lining of the uterus are broken. The site of the tear is usually on the left front of the lower uterine segment or tear from the body of the uterus to the cervix. In some cases, cervical laceration may occur along the lower segment. Incomplete uterine rupture: A condition in which the lining and muscle layer of the uterus breaks down, leaving the peritoneum intact. Incomplete uterine rupture causes blood to spill into the broad ligament, causing ligament hematoma, pelvic hematoma. Uterine rupture in women with old surgical scars: This is a condition where the hysterectomy scar cracks or splits open. Complex Uterine Rupture: A uterine rupture with lesions extending down the vagina, complicated ruptures.

2.1 Symptoms of uterine rupture during pregnancy Pregnant woman has sudden, severe pain, a lot of pain at the site of rupture Vaginal bleeding Pregnant woman is dizzy, loses a lot of blood, sweats, cold hands and feet , low blood pressure Change in fetal position or intra-abdominal pregnancy. 2.2 Uterine rupture during labor Maternal pain occurs due to strong uterine contractions, rapid heartbeat. There is an intense pain that gradually subsides Vaginal bleeding Low blood pressure, sweating, rapid pulse, pale face The abdomen is distended, when touched, it is painful Easy to feel the fetus under the skin of the abdomen Fetal failure.

Uterine rupture is a dangerous condition, requiring emergency surgery. During the surgery, it is necessary to combine resuscitation, blood transfusion, intravenous fluids, and heart support due to uterine rupture causing the mother to lose blood and shock.

Depending on the degree of uterine rupture, time of rupture, status of infection, the doctor will perform hysterectomy or suture.
Uterine mouth : Uterine suture is indicated for pregnant women who are still young and wish to have another child. The break is not infected, not broken. Hysterectomy: Hysterectomy is indicated for pregnant women who are old and do not wish to have another child. Fragile, infected, complicated uterine rupture. After uterine-conserving surgery due to uterine rupture, patients need to continue using high-dose antibiotics, ensuring nutritional factors for early recovery, and avoiding infection.
Uterine-preserving surgery due to uterine rupture should be performed in reputable medical facilities and highly qualified doctors to limit unfortunate cases. Vinmec International General Hospital is one of the largest and most prestigious medical facilities in Vietnam with advanced and modern equipment; converging a team of doctors with rich expertise and experience; The quality of examination and service is always the hospital's top priority.
In addition, at the hospital, the hospital also provides a package maternity service as a solution to help pregnant women feel secure because of the companionship of the medical team throughout the pregnancy. When choosing Maternity Package, pregnant women can:
The pregnancy process is monitored by a team of qualified doctors. Regular check-ups, early detection of abnormal problems. Maternity package helps to facilitate the birthing process. Newborns receive comprehensive care.