Abstract

A 38 y/o pregnant woman, G2P1, with unscarred uterus (no previous uterine surgery),vaginally delivered her 2nd baby in a seemed smooth course. But in the postpartum period, PPH and gross hematuria were noted. Concomitant bladder and uteirne rupture were noted. Laparoscopic intervention was performed, to repair the bladder and uteirne laceration hole, preventing the future formation of vesico-uterine fistula. Baby OG tubes were introduced to catheterized bilateral ureters, because the bladder laceration wound was so closed to trigone area. Both uterine wall and bladder wall were successsfully repaired under laparoscopic surgery. Concomitant bladder and uterine rupture in an unscarred multi-parous uterus is extremely rare. The technical tpis for safe repair of the bladder and uterine laceration wound will be demonstrated in this video.

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