Información del artículo
Summary
Complications associated with cold-knife conization are mainly hemorrhage, genital and urinary infections. We present one case of accidental posterior colpotomy with Douglas pouch wound initially unnoticed at the time of the cold-knife conization, and secondarily complicated by an incarceration of the bowel loop in the vaginal wound and a pelviperitonitis.
Resumen
Las complicaciones asociadas con las conizaciones por bisturí frío son, con mayor frecuencia, las hemorragias o las infecciones genitourinarias. Presentamos un caso de colpotomía posterior accidental con lesión del fondo de saco de Douglas, que pasó inicialmente inadvertida,en el curso de una conización con bisturí frío, y secundariamente complicado con incarceración de un asa intestinal en la herida vaginal y una pelviperitonitis.
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Bibliografía
[1.]
J. González-Merlo.
Conización del cuello uterino.
Atlas de operaciones ginecológicas. Tomo I. Operaciones vaginales, pp. 95-109
[2.]
A. Stafl.
Neoplasia intraepitelial cervical.
Te Linde. Ginecología Quirúrgica, 7, pp. 1028-1044
[3.]
L. Beck.
Complicaciones del legrado y la conización.
Complicaciones intra y postoperatorias ginecología. Incluidas las urológicas e intestinales, pp. 85-88
[4.]
A.D. Chaman, N. Lee.
Factors that relate to complication of cone biopsy.
Am J Obstet Gynecol, 120 (1974), pp. 124-128
[6.]
T.F. Dillon, A. Risk.
Lesiones benignas de cérvix, vagina y vulva.
Graber EA,Complicacio-nes quirúrgicas obstetricia y ginecología, pp. 325-337
[7.]
E.J. Moore, C.C. Fitzpatrick, B.M. Coughlan, P.J. MacKenna.
Cone biopsy: a review of 112 cases.
Ir Med J, 85 (1992), pp. 28-30
[8.]
KG. Bötzelen HP. Ober.
Technik, vor-und Nachtelle de konisation der Cerviz uteri.
Geburtsh Frauenheit, 19 (1959), pp. 105-110
[9.]
G. Kem, E. Aslami, E. Kem-Bethke, zu Eulenburg H. Gräfin.
Folgen der Zervixkonisation.
Geburtsh Frauenheit, 27 (1967), pp. 879-883
[10.]
H. Egger, G. Kinderman, K. Michatzik.
Porticoabschabung und Zervixkürettage – Eine Alternative zur Konisation heir positiver Zytologie.
Geburtsh Frauenheit, 35 (1975), pp. 913-918
[11.]
D.M. Luesley, A. McCrum, P.B. Terry, T. Wade-Evans, H.O. Nicholson, M.J. Mylotte.
Complications of cone biopsy related to the dimensions of the cone and the influence of prior colposcopic assessment.
Br J Obstet Gynecol, 92 (1985), pp. 158-164
[12.]
P. Matheuet, D. Dargent, M. Roy, G. Bean.
A randomised prospective study comparing three techniques of conization: cold-knife, laser and LEEP.
Gynecol Oncol, 54 (1994), pp. 175-179
[13.]
S.M. Ismail.
Cone biopsy causes cervical endometriosis and tuboendometrial metaplasia.
Histopathology, 18 (1991), pp. 107-114
[14.]
J. Kristensen, J. Langhoff-Ross, M. Wittrup, J.E. Bock.
Cervical conization and preterm delivery/ low birth weight. A systematic review of the literature.
Acta Obstet Gynecol Scand, 72 (1993), pp. 640-644
[15.]
A.Y. El-Bastawissi, T.M. Becker, J.R. Daling.
Effect of cervical carcinoma in situ and its management of pregnancy outcome.
Obstet Gynecol, 93 (1999), pp. 207-212
[16.]
H.W. Jones, R.E. Buller.
The treatment of cervical intraepithe-lial neoplasia by cone biopsy.
Am J Obstet Gynecol, 137 (1980), pp. 882-886
[17.]
D.G. Holt, A.J. Jacobs, JC. Ada GM. Scott.
Diagnostic significance and sequelae of cone biopsy.
Am J Obstet Gynecol, 143 (1982), pp. 312-315
[18.]
A.D. Claman, N. Lee.
Factors that relate to complications of cone biopsy.
Am J Obstet Gynecol, 120 (1974), pp. 124-128
[19.]
N.J. Nwabineli, J.A. Davis.
Fistula injury to the bladder at repeat cone biopsy by laser.
Eur J Obstet Gynecol Reprod Biol, 28 (1992), pp. 245-246
[20.]
H. Krissi, T. Levi, Z. Ben-Rafael, H. Levavi.
Fistula formation after large loop excision of the transformation zone in patients with cervical intraepithelial neoplasia.
Acta Obstet Gynecol Scand, 80 (2001), pp. 1137-1138
[21.]
P. Raynal, J. Lucas.
Pelvipéritonite et occlusion intertinale: deux complications atypiques de la conización au bistouri froid.
J Gynecol Obstet Biol Reprod, 32 (2003), pp. 43-55
[22.]
B.D. Duggan, J.C. Felix, L.I. Muderspach, J.A. Gebhart, S. Gros-hen, P. Morrow, et al.
Cold-knife conization versus coni-zation by the loop electrosurgical excision procedure: a randomized, prospective study.
Am J Obstet Gynecol, 180 (1999), pp. 176-182
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