A successful pregnancy outcome following embolisation for post modified Manchester Fothergill haemorrhage: an interesting case report
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20222489Keywords:
Pelvic organ prolapse, Cervical elongation, Manchester FothergillAbstract
Genital prolapse is one of the most common disorder affecting women of varying age group; though it typically affects older and parous women. Malfunction of the pelvic support is the most common cause of this disorder. Increasing age and excess weight are established risk factors for pelvic organ prolapse.In young nulliparous women conservative surgery is preferred to preserve the fertility of the patient. The approach of surgery can be either vaginal or abdominal depending on the classification of prolapse. We reported a rare case of a 36-year-old P1L0 (IUFD1) A1 with cervical elongation who was apprehensive to have a child. She was managed at our institute and had a successful pregnancy outcome in spite of undergoing embolization for secondary haemorrhage following modified Manchester-Fothergill operation.
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References
De Lancey J, Richardson. A Anatomy of genial support. In: Benson, eds. Female pelvic floor disorders. New York, NY: Norton Medical Books; 2010.
Maher C, Feiner B, Baessler K, Adams EJ, Hagen S, Glazener CM. Surgical management of pelvic organ prolapse in women. Cochrane Database Syst Rev. 2010;(4):CD004014.
Berek JS. Berek and Novak’s Gynecology. 16th ed. Philadelphia: Lippincott Williams and Wilkins; 2019.
Hagen S, Stark D, Maher C, Adams E. Conservative management of pelvic organ prolapse in women. Cochrane Database Syst Rev. 2004;(2):CD003882.
Skiadas CC, Goldstein DP, Laufer MR. The manchester-fothergill procedure as a fertility sparing alternative for pelvic organ prolapse in young women. J Pediatr Adolesc Gynecol. 2006;19(2):89-93.
Tipton RH, Atkin PF. Uterine disease after the Manchester repair operation. J Obstet Gynaecol Br Commonw. 1970;77(9):852-3.
Fisher JJ. The effect of amputation of the cervix uteri upon subsequent parturition; a preliminary report of seven cases. Am J Obstet Gynecol. 1951;62(3):644-8.
Allahbadia GN. Reproductive performance following sleeve excision anastomosis operation for genital prolapse. Aust N Z J Obstet Gynaecol. 1992;32(2):149-53.
Valecha S. Dhingra D. Nadkarni’s Sleeve excision anastomosis for pelvic organ prolapse due to cervical elongation. Int J Curr Res. 2015;7(01):11985-8.
Crafoord K, Sydsjö A, Nilsson K, Kjølhede P. Primary surgery of genital prolapse: a shift in treatment tradition. Acta Obstet Gynecol Scand. 2006;85(9):1104-8.