Infectious necrosis with dehiscence of the uterine repair complicating cesarean delivery: a review

Abstract

The authors summarize current knowledge about infectious uterine incisional necrosis/dehiscence, an uncommon but serious complication of cesarean delivery. A MEDLINE search of the literature from 1966 to the present did not identify any previous review of this entity. From case reports, small case series, and textbook descriptions, the evidence regarding the definition of the disorder, its prevalence, etiology, pathogenesis, diagnosis, prognosis, and management is presented. The paucity of reports in the modern literature indicate the need for further studies to more precisely characterize this entity for cross-study comparisons and aggregation to provide clearer management guidelines, especially as it regards diagnosis, and the safety of conservative surgery in well-selected cases.

Target audience: Obstetricians & Gynecologists, Family Physicians.

Learning objectives: After completion of this article, the reader should be able to define the condition infectious uterine incisional necrosis, and to outline potential management options.