Intrauterine negative-pressure therapy (IU-NPT) to treat peritonitis after caesarean section.

ABSTRACT:

Objectives

We describe the first application of intrauterine negative-pressure therapy (IU-NPT) for an early rupture of a uterine suture after a third caesarean section with consecutive peritonitis and sepsis. Because all four quadrants were affected by peritonitis, a laparotomy was performed on the 15th day after caesarean section. Abdominal negative-pressure wound therapy (A-NPWT) of the open abdomen was initiated. During the planned relaparotomy, a suture defect of the anterior uterine wall was identified and sutured. In the second relaparotomy, the suture appeared once more insufficient.

Case presentation

For subsequent IU-NPT, we used an open-pore film drainage (OFD) consisting of a drainage tube wrapped in the double-layered film. The OFD was inserted into the uterine

SUBMITTER: Wulfert CH 

PROVIDER: S-EPMC7798308 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature