Skip to main content Skip to main navigation menu Skip to site footer

Penanganan inversio uteri: sebuah tinjauan pustaka

  • Endang Sri Widiyanti ,
  • I Gede Mega Putra ,

Abstract

Acute uterine inversion is a rare but life-threatening emergency in the field of obstetrics. The main signs and symptoms of acute uterine inversion are bleeding and shock. The accuracy and speed of diagnosis and case management will reduce morbidity and mortality due to uterine inversion. This literature review is expected to increase our knowledge as practitioners in dealing with uterine inversion cases. In principle, there are two goals for the treatment of acute uterine inversion, namely repositioning the uterus and treating the shock that occurs. The success of uterine inversion repositioning is highly dependent on the speed of early detection. The longer the uterus is inverted, the more difficult it will be to reposition it. There are several non-surgical techniques for repositioning the uterus, including: Johnson maneuver, Henderson and Alles maneuver, use of tocolytics, and repositioning with hydrostatic pressure. Surgical procedures can be performed abdominally, namely the Huntington's Procedure, with abdominal repositioning laparotomy and the Haultain's Procedure, with abdominal cervical repositioning-repositioning laparotomy.

 

Kejadian inversio uteri akut merupakan kegawatdaruratan di bidang Obstetri yang jarang terjadi namun mengancam nyawa. Tanda dan gejala utama inversio uteri akut adalah perdarahan dan syok. Ketepatan dan kecepatan diagnosa dan penanganan kasus akan mengurangi morbiditas dan mortalitas akibat inversio uteri. Tinjauan pustaka ini diharapkan dapat menambah pengetahuan kita sebagai praktisi dalam menangani kasus inversio uteri. Pada prinsipnya ada dua tujuan penanganan inversio uteri akut, yaitu reposisi uterus dan penanganan syok yang terjadi. Keberhasilan reposisi inversio uteri sangat tergantung pada kecepatan deteksi dini. Semakin lama uterus terinversi akan semakin sulit melakukan reposisi. Terdapat beberapa teknik non-bedah untuk reposisi inversio uteri, antara lain: manuver Johnson, manuver Henderson dan Alles, penggunaan tokolitik, dan reposisi dengan tekanan hidrostatik. Prosedur pembedahan dapat dilakukan melalui abdominal, yaitu Prosedur Huntington, dengan laparotomi-reposisi melalui abdominal dan Prosedur Haultain, dengan laparotomi- insisi cincin servikalis-reposisi melalui abdominal.

Section

References

  1. Dorland Wan. Dorland?s American Illustrated Medical Dictionary. Am J Med Sci. 1914;147(4):595. Available from: http://dx.doi.org/10.1097/00000441-191404000-00024
  2. Tuckett JD, Yeung A, Timmons G, Hughes T. Non-puerperal uterine inversion secondary to uterine sarcoma and ascites demonstrated on CT and MRI. Eur J Radiol Extra. 2010;75(3):e119–23. Available from: http://dx.doi.org/10.1016/j.ejrex.2010.06.008
  3. Kochenour NK. Diagnosis and Management Of Uterine Inversion. In: Gilstrap LC, Cunningham FG, Vandorsten JP, editors. Operative Obstetrics. 2nd ed. USA: McGraw-Hill Companies;2002.
  4. Bayer-Zwirello LA. The Third Stage. In: Grady JP, Gimovsky ML, Bayer- Zwirello LA, Giordano K, editors. Operative Obstetrics. 2nd ed. USA: Cambridge University Press; 2008.
  5. OGrady JP, Gimovsky ML, Bayer-Zwirello LA, Giordano K. The Third Stage [Internet]. Operative Obstetrics. Cambridge University Press; p. 257–96. Available from: http://dx.doi.org/10.1017/cbo9780511580987.013
  6. Rao K. Acute Uterine Inversion [Internet]. Handbook of Obstetric Emergencies. Jaypee Brothers Medical Publishers (P) Ltd.; 2011. p. 111. Available from: http://dx.doi.org/10.5005/jp/books/11403_25
  7. Baskett TF. Acute Uterine Inversion: A Review of 40 Cases. J Obstet Gynaecol Canada. 2002;24(12):953–6. Available from: http://dx.doi.org/10.1016/s1701-2163(16)30594-1
  8. Anonim. Register Persalinan Rumah Sakit Umum Sanglah Denpasar Periode 1 Agustus 2009 hingga 31 Juli 2010. Denpasar : 2010
  9. Bhalla R, Wuntakal R, Odejinmi F, Khan RU. Acute inversion of the uterus. Obstet Gynaecol. 2009;11(1):13–8. Available from: http://dx.doi.org/10.1576/toag.11.1.13.27463
  10. Lago JD. Presentation of acute uterine inversion in the emergency department. Am J Emerg Med. 1991;9(3):239–42. Available from: http://dx.doi.org/10.1016/0735-6757(91)90086-y
  11. Beringer RM, Patteril M. Puerperal uterine inversion and shock. Br J Anaesth. 2004;92(3):439–41. Available from: http://dx.doi.org/10.1093/bja/aeh063
  12. Paterson-Brown S. Obstetric Emergencies [Internet]. Dewhurst’s Textbook of Obstetrics & Gynaecology. Wiley-Blackwell; 2012. p. 296–310. Available from: http://dx.doi.org/10.1002/9781119979449.ch25
  13. Stafford I, Belfort MA, Dildy GA. Etiology and Management of Hemorrhage. In : Belfort MA, Saade G, Foley M, Phelan J and Dildy G, editors. Critical Care Obstetrics. 5th ed. Singapore: Blackwell Publishing; 2010.
  14. Anderson JM, Etches D. Prevention and Management of Postpartum Hemorrhage. the American Academy of Family Physicians. 2007;75(6):875-82
  15. Junizaf. Inversio Uteri. Dalam: Junizaf, Santoso BI, editor. Buku Ajar Uroginekologi Indonesia. Jakarta: Himpunan Uroginekologi Indonesia; 2011.
  16. Durì D, Cugini U, Olivuzzi M, Del Frate G. Acute postpartum uterine inversion: report of two cases. Int J Obstet Anesth. 2008;17(1):83–5. Available from: http://dx.doi.org/10.1016/j.ijoa.2007.03.014
  17. Abouleish E, Ali V, Joumaa B, Lopez M, Gupta D. Anaesthetic management of acute puerperal uterine inversion. Br J Anaesth. 1995;75(4):486–7. Available from: http://dx.doi.org/10.1093/bja/75.4.486
  18. Antonelli E, Irion O, Tolck P, Morales M. Subacute uterine inversion: description of a novel replacement technique using the obstetric ventouse. BJOG An Int J Obstet Gynaecol. 2006;113(7):846–7. Available from: http://dx.doi.org/10.1111/j.1471-0528.2006.00965.x
  19. Contraception: discontinuation and switching in developing countries. Reprod Health Matters. 2012;20(40):210–2. Available from: http://dx.doi.org/10.1016/s0968-8080(12)40667-x
  20. Wendel MP, Shnaekel KL, Magann EF. Uterine Inversion: A Review of a Life-Threatening Obstetrical Emergency. Obstet Gynecol Surv. 2018;73(7):411-417. doi: 10.1097/OGX.0000000000000580. PMID: 30062382.
  21. Hanretty KP. Obstetrics Illustrated. 6th ed. China: Churchill Livingstone; 2004.
  22. Tan KH, Luddin NSY. Hydrostatic reduction of acute uterine inversion. Int J Gynecol Obstet. 2005;91(1):63–4. Available from: http://dx.doi.org/10.1016/j.ijgo.2005.06.006
  23. Plaut GS. Chronic puerperal inversion of the uterus. Postgrad Med J. 1961;37(425):164–6. Available from: https://pubmed.ncbi.nlm.nih.gov/13736295
  24. Irani S, Jordan J. Management Of Uterine Inversion Operative Techniques. Current Obstetrics & Gynaecology 1997;7:232-5.
  25. Aveling JH. A Lecture on Inversion of the Uterus: With Ten Cases Succesftully Treated by the Sigmoid Repositor. Br Med J. 1886;1(1315):475–81. Available from: https://pubmed.ncbi.nlm.nih.gov/20751488
  26. Witteveen T, van Stralen G, Zwart J, van Roosmalen J. Puerperal uterine inversion in the Netherlands: a nationwide cohort study. Acta Obstet Gynecol Scand. 2013 Mar;92(3):334-7. doi: 10.1111/j.1600-0412.2012.01514.x. PMID: 22881867.
  27. Edis AW. Reposition of Complete Inversion of Uterus after Five Years’ Duration. Br Med J. 1883;1(1160):561–2. Available from: https://pubmed.ncbi.nlm.nih.gov/20750551
  28. Atthill L. Remarks on Inversion of the Uterus. Br Med J. 1879;2(975):357–8. Available from: https://pubmed.ncbi.nlm.nih.gov/20749286
  29. Hostetler DR, Bosworth MF. Uterine inversion: a life-threatening obstetric emergency. J Am Board Fam Pract. 2000;13(2):120-3. doi: 10.3122/15572625-13-2-120. PMID: 10764194.
  30. Gemer O, Anteby E, Lavie O. Uterine inversion associated with uterine sarcoma. Int J Gynecol Obstet. 2008;101(2):195–6. Available from: http://dx.doi.org/10.1016/j.ijgo.2007.10.018
  31. Hirsch HA, Kaser O, Ilke FA. Atlas Of Gynecologic Surgery. 3rd edition. Germany: Thieme; 1997.
  32. Evans DG, Lynch CB. Obstetric Trauma. In : Lynch CB, Keynes M, Keith LG, Lalonde AB, Karoshi M, editors. A Textbook of Postpartum Hemorrhage, A comprehensive guide to evaluation, management and surgical intervention. UK: Sapiens Publishing; 2006.
  33. Oboro VO, Akinola SE, Apantaku BD. Surgical management of subacute puerperal uterine inversion. Int J Gynecol Obstet. 2006;94(2):126–7. Available from: http://dx.doi.org/10.1016/j.ijgo.2006.04.037
  34. Turrentine JE. Clinical Protocols in Obstetrics and Gynecology [Internet]. CRC Press; 2008. Available from: http://dx.doi.org/10.3109/9781439802021
  35. Mangeshikar P. Atlas of Gynecologic Surgery. J Obstet Gynaecol India. 2014;64(6):447–8. doi: 10.1007/s13224-014-0644-y.
  36. Fofie CO, Baffoe P. Non-puerperal uterine inversion: a case report. Ghana Med J. 2010;44(2):79–81. Available from: https://pubmed.ncbi.nlm.nih.gov/21327009
  37. Thorp JM. Clinical Aspects of Normal and Abnormal Labor [Internet]. Creasy and Resnik’s Maternal-Fetal Medicine: Principles and Practice. Elsevier; 2009. p. 691–724. Available from: http://dx.doi.org/10.1016/b978-1-4160-4224-2.50039-9
  38. Auber M, Darwish B, Lefebure A, Ness J, Roman H. Management of nonpuerperal uterine inversion using a combined laparoscopic and vaginal approach. Am J Obstet Gynecol. 2011;204(6):e7–9. Available from: http://dx.doi.org/10.1016/j.ajog.2011.01.024
  39. Achanna S, Mohamed Z, Krishnan M. Puerperal uterine inversion: a report of four cases. J Obstet Gynaecol Res. 2006;32(3):341-5. doi: 10.1111/j.1447-0756.2006.00407.x.
  40. DeCherney AH, Laufer N. The Monitoring of Ovulation Induction Using Ultrasound and Estrogen. Clin Obstet Gynecol. 1984;27(4):993–1002. Available from: http://dx.doi.org/10.1097/00003081-198412000-00020
  41. Majd HS, Pilsniak A, Reginald PW. Recurrent uterine inversion: a novel treatment approach using SOS Bakri balloon. BJOG An Int J Obstet Gynaecol. 2009;116(7):999–1001. Available from: http://dx.doi.org/10.1111/j.1471-0528.2009.02165.x
  42. Mwinyoglee J, Simelela N, Marivate M. Non-Puerperal Uterine Inversion in a Nulliparous Woman with no Uterine Mass: A Case Report and a Literature Review. J Clin Rev Case Reports. 2020;5(8). Available from: http://dx.doi.org/10.33140/jcrc.05.08.06
  43. Adesiyun AG. Septic postpartum uterine inversion. Singapore Med J. 2007 Oct;48(10):943-5. PMID: 17909681.

How to Cite

Widiyanti, E. S., & Putra, I. G. M. (2022). Penanganan inversio uteri: sebuah tinjauan pustaka. Intisari Sains Medis, 13(1), 136–142. https://doi.org/10.15562/ism.v13i1.1262

HTML
88

Total
178

Share

Search Panel

Endang Sri Widiyanti
Google Scholar
Pubmed
ISM Journal


I Gede Mega Putra
Google Scholar
Pubmed
ISM Journal