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Uterine prolapse represents the herniation of the uterus into or beyond the vagina as a result of failure of the sustaining ligaments and of the fascia that supports it. When it coexists with prolapse of the vaginal walls, involving the bladder it is called uterine prolapse associated with cystocele and when it coexists with prolapse of the rectum is called uterine prolapse associated with enterocele. The prevalence of the pelvic organ prolapse is uncertain, previous studies showing a prevalence between 2.9% and 41% of women. The following case is that of a 63-year-old patient who required a multidisciplinary approach given the complexity of the case, the comorbidities associated with the pathology and the patient’s personal pathological history [ABSTRACT FROM AUTHOR]

Teenage pregnancy refers to pregnancy that occurs in adolescent females under the age of 18 years old, although some authors include females under the age of 20 years old. Teenage girls have a higher risk of developing complications related to pregnancy, and the rate of caesarean section can rise dramatically. Cases of teenage women with pregnancy must be approached in a multidisciplinary manner and need a closer checkup than other pregnancies. The following study was conducted in the "Sf. Ap. Andrei" County Emergency Clinical Hospital, Constanţa, over a period of five years, between 2018 and 2022, and followed the incidence, the sociocultural environment, the rate of caesarean section and the indications for surgery. [ABSTRACT FROM AUTHOR]

Introduction. The incidence of caesarean section has increased significantly in recent years. This is a retrospective and observational study, over a period of five years (from April 2017 to April 2022). The present paper aims to show the correlation between the dehiscence of the hysteroraphic tranche with anemia, the postoperative hematoma or the dehiscence of the skin wound in the postoperative period. Working method. This study was performed on a group of 5562 patients who gave birth by caesarean section, and found four patients who met the inclusion criteria. The inclusion criteria were secondary anemia, subaponevrotic hematoma or cutaneous wound dehiscence, associated with uterine dehiscence, resulting in hysterectomy of necessity. Results. All patients with uterine dehiscence resulting in hysterectomy necessitated secondary anemia and subaponevrotic hematoma, one case of which was associated with supraaponevrotic hematoma, but none of them were associated with cutaneous wound dehiscence. Conclusions. Out of the studied group of 5562 patients, 16 patients developed subaponevrotic hematomas, four of them developing uterine histeroraphy dehiscence and requiring a hysterectomy of necessity, with an incidence of 25%. In the literature, the hysterectomy of necessity after the appearance of a subaponevrotic hematoma is between 25% and 98%. [ABSTRACT FROM AUTHOR]