Author(s)

Famakan Kane¹, Mahamadou Keita², Yacouba Sylla², Soumaila Diallo¹, Diassana Mahamadou³, Traore Tidiane⁴

¹Hôpital du District de Bla, Bamako, Mali.
²Hôpital du District Commune I, Bamako, Mali.
³Hôpital FOUSSEYNI DAOU de Kayes, Bamako, Mali.
⁴Hôpital NIANAKORO FOMBA de SEGOU, Bamako, Mali.

The objective is to report a clinical case of vaginal cesarean section performed to expel a dead fetus in scarred uterus. For this indication, vaginal hysterectomy constitutes an alternative to vaginal expulsion with a high risk of uterine rupture and to classic abdominal cesarean section with risk of significant surgical trauma, particularly adhesions. However, this surgical technique, described since the 19th century, remains unknown to many practitioners and few publications exist on the subject throughout the world. Considered obsolete by some practitioners, it retains all its advantages in the practice of modern obstetrics. We report this case of expulsion of fetal death on a tri-scarred uterus performed by vaginal cesarean section at the Health District Reference Health Center (District Hospital) of Commune I in Bamako, Mali in a 37-year-old patient with a pregnancy of 27 weeks of amenorrhea.

Vaginal Cesarean Section, Birth on Scarred Uterus, In Utero Fetal Death

Kane, F. , Keita, M. , Sylla, Y. , Diallo, S. , Mahamadou, D. and Tidiane, T. (2024) Vaginal Cesarean Section, an Alternative to High-Risk Trigger on Scarred Uterus. Open Journal of Obstetrics and Gynecology, 14, 979-982. doi: 10.4236/ojog.2024.147077.