title: Hysteroscopic removal of gauze packing inadvertently sutured to the uterine cavity: report of 2 cases.
abstract: We report on 2 cases of successful hysteroscopic removal of uterovaginal packing, inserted during cesarean sections after uterine hemorrhage resistant to medical therapy. The packing, in both cases, could not be removed vaginally with sponge forceps because the packing had been sutured to the uterine cavity. A hysteroscopic approach enabled identification and cutting with 5F scissors of the stitches fixing the packing to the uterine walls, allowing straightforward removal in an outpatient setting and avoiding a repeated laparotomy. Some useful techniques to handle such a situation are described.
authors.affiliation: Department of General and Specialistic Surgical Sciences, Section of Obstetrics and Gynecology, University of Bari, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Bettocchi
authors.forename: Attilio
authors.initials: A
authors.lastname: Di Spiezio Sardo
authors.forename: Lauro
authors.initials: L
authors.lastname: Pinto
authors.forename: Maurizio
authors.initials: M
authors.lastname: Guida
authors.forename: Maria Antonietta
authors.initials: MA
authors.lastname: Castaldi
authors.forename: Oronzo
authors.initials: O
authors.lastname: Ceci
authors.forename: Carmine
authors.initials: C
authors.lastname: Nappi
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D005547:Foreign Bodies / Q000601:surgery*; D006489:Hemostatic Techniques / Q000009:adverse effects; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D019300:Medical Errors / Q000009:adverse effects*; D011247:Pregnancy; D013536:Suture Techniques / Q000009:adverse effects*