A hole or break through the wall of the UTERUS, usually made by the placement of an instrument or INTRAUTERINE DEVICES.
Contraceptive devices placed high in the uterine fundus.
Intrauterine contraceptive devices that depend on the release of metallic copper.
Dilatation of the cervix uteri followed by a scraping of the endometrium with a curette.
Intrauterine devices that release contraceptive agents.
Opening or penetration through the wall of the INTESTINES.
A complete separation or tear in the wall of the UTERUS with or without expulsion of the FETUS. It may be due to injuries, multiple pregnancies, large fetus, previous scarring, or obstruction.
Endoscopic examination, therapy or surgery of the interior of the uterus.
Migration of a foreign body from its original location to some other location in the body.
An opening or hole in the ESOPHAGUS that is caused by TRAUMA, injury, or pathological process.
A synthetic progestational hormone with actions similar to those of PROGESTERONE and about twice as potent as its racemic or (+-)-isomer (NORGESTREL). It is used for contraception, control of menstrual disorders, and treatment of endometriosis.
The hollow thick-walled muscular organ in the female PELVIS. It consists of the fundus (the body) which is the site of EMBRYO IMPLANTATION and FETAL DEVELOPMENT. Beyond the isthmus at the perineal end of fundus, is CERVIX UTERI (the neck) opening into VAGINA. Beyond the isthmi at the upper abdominal end of fundus, are the FALLOPIAN TUBES.
A temporary or persistent opening in the eardrum (TYMPANIC MEMBRANE). Clinical signs depend on the size, location, and associated pathological condition.

Laparoscopic removal of a perforated intrauterine device from the perirectal fat. (1/41)

BACKGROUND: The intrauterine device (IUD) was a very common form of birth control in the United States. The most serious potential complication of IUD use is uterine perforation. Uterine perforation is common among women with "lost" IUDs and can cause severe morbidity and mortality and should be carefully managed. The recommended treatment is removal of the perforating IUD. This can usually be managed laparoscopically unless bowel perforation or other severe sepsis is present. METHODS: An intra-abdominal IUD was removed laparoscopically from the perirectal fat of a 49-year-old woman who had been diagnosed over 20 years earlier with an "expelled" IUD. CONCLUSIONS: It is important that the possibility of uterine perforation be considered in anyone who has had a diagnosis of an expelled IUD without actual confirmation that the IUD is no longer present in the body. In any woman who presents with pelvic pain and a history of a "lost" IUD, the surgeon should have a high index of suspicion and obtain radiological studies. It may be advisable to question women about possible IUD use when they present with pelvic pain of unknown origin.  (+info)

Real-time intraoperative ultrasound guidance: the transrectal approach. (2/41)

OBJECTIVE: To assess the role of real-time transrectal ultrasound guidance in complicated gynecologic procedures. DESIGN: In 1998-99, real-time guidance with transrectal ultrasound was utilized in our department to assist the gynecologic surgeon in two procedures: completing the evacuation of the uterine cavity after identification of uterine wall perforation during first trimester termination of pregnancy, and drainage of infected vaginal vault hematoma following hysterectomy. RESULTS: The technique was applied for 11 patients, six abortions and five infected hematomas. All the procedures were completed without any further complications and the patients were discharged on the following day. Follow-up was uneventful. CONCLUSIONS: On-line intraoperative transrectal ultrasound can effectively provide real-time assistance to the gynecologic surgeon during complicated pelvic procedures.  (+info)

Morbidity of first trimester aspiration termination and the seniority of the surgeon. (3/41)

Vacuum aspiration is a safe, acceptable, and efficacious method of first trimester pregnancy termination. The success and complication rates are thought to be partially dependent on operator experience and gestation. We examined this further by studying the outcome of 828 consecutive surgical abortions up to 13 weeks gestation in our hospital. The following outcomes were measured: surgical curettage for presumed retained products of conception; continuing pregnancy; uterine perforation; pelvic sepsis requiring intravenous antibiotics; and blood transfusion required. The complete abortion rate was 94.6% and the rate of continuing pregnancy 0.24%. There was a significant relationship between efficacy and seniority of the surgeon; consultants, senior registrars, registrars, and senior house officers had complete abortion rates of 97.8, 92.8, 94.7, and 88.4% respectively (P = 0.039). Parity did not affect efficacy. Terminations at 12-13 weeks gestation were associated with a significantly lower complete abortion rate. The rates of uterine perforation, blood transfusion, pelvic sepsis requiring intravenous antibiotics, and overnight hospital admission were 0.24, 0, 0.97, and 1.69% respectively. Thus, the only significant factors affecting outcome of surgical abortion are grade of operating surgeon or terminations performed at later gestations of 12-13 weeks. It is vital that physicians performing surgical terminations are adequately trained.  (+info)

Uterine perforation by GyneFix frameless IUD: two case reports. (4/41)

Two cases of uterine perforation are described, occurring 11 days and 4 months, respectively, after the insertion of GyneFix, a frameless intra-uterine contraceptive device (IUD). In both the cases initial ultrasound scan showed the intra-uterine position of the device. Removal of the IUD, either by laparoscopy or laparotomy, had to be carried out. Awareness of this complication, insertion of GyneFix by a trained operator, appropriateness of ultrasound scan monitoring and possible underreporting of this complication are discussed.  (+info)

Intra-uterine implant (GyneFix) lost via intestinal route? (5/41)

Uterine perforation has long been regarded as a complication of the insertion of an intra-uterine contraceptive device (IUD). The development of modern devices with sophisticated insertion systems as well as advanced training requirements seeks to minimise the risk of adverse insertion incidents for women choosing intra-uterine contraception. This case report highlights the continuing need for intra- and post-insertion vigilance as even recent advances in IUD technique and technology do not guarantee risk-free insertion.  (+info)

Intraperitoneal levonorgestrel-releasing intrauterine device following uterine perforation: the role of progestins in adhesion formation. (6/41)

BACKGROUND: Intrauterine contraception is a widely used, highly effective means of birth control. Uterine perforation is a serious, albeit rare, complication of intrauterine device (IUD) use. Although uterine perforation by levonorgestrel-releasing (20 micro g/day) intrauterine system (LNG-IUS) has already been reported, the peritoneal adhesion potential of this IUD is unknown. METHODS: The medical files of all patients diagnosed with an intra-peritoneal IUD between the years 1990-2002 at Hadassah Medical Center were reviewed. Histopathological study of peritoneal adhesion tissue adjacent to levonorgestrel medicated IUD was conducted in one case. RESULTS: Eight cases of dislocated IUDs were found. Four cases used LNG-IUS and four other cases used copper-IUD. Laparoscopy for IUD removal disclosed mild local peritoneal adhesions between omentum and pelvic organs in all cases. No difference was noted in the appearance of the peritoneum in the presence of either a copper-IUD or LNG-IUS. Histological examination of peritoneal tissue encasing the levonorgestrel-intrauterine system revealed loose connective tissue with aggregates of submesothelial cells with a pseudo-decidual change. Immunohistochemical staining for progesterone receptor was negative. CONCLUSIONS: The peritoneal adhesions potential of LNG-IUS is low, similar to that of the copper-bearing IUD.  (+info)

Sonographic diagnosis of a uterine defect in a pregnancy at 6 weeks' gestation with a history of curettage. (7/41)

We present the early diagnosis and successful surgical treatment of uterine perforation. This was a rare case of cystic change of a uterine perforation, which was diagnosed by sonography during the first trimester of pregnancy. Surgical closure of the uterine wall defect was successful.  (+info)

Management of a perforated levonorgestrel-medicated intrauterine device--a pharmacokinetic study: case report. (8/41)

Intrauterine contraception is a widely used, highly effective method of birth control. Uterine perforation is a serious albeit rare complication with the use of an intrauterine device (IUD). Although uterine perforation by the levonorgestrel-releasing intrauterine system (LNG-IUS) has already been described, no plasma LNG concentrations in this setting were reported. Neither has the management of LNG-IUS been commented on to date. Two months after insertion of an LNG-IUS into a 33-year-old woman, it was noted to be in the peritoneal cavity. Laparoscopy for IUD removal was conducted 5 months after insertion. LNG and sex hormone-binding globulin plasma concentrations were measured prior to and following the laparoscopic removal of the IUD. Intra-peritoneal dislocated LNG-IUS resulted in plasma LNG levels 10 times higher (4.7 nmol/l) than the plasma level of LNG observed with LNG-IUS placed in utero. This high plasma LNG level suppresses ovulation. Therefore a misplaced LNG-IUS should be removed when pregnancy is desired.  (+info)

Uterine perforation is a medical condition that refers to the piercing or puncturing of the uterine wall. This can occur during various medical procedures such as dilatation and curettage (D&C), insertion of an intrauterine device (IUD), or during childbirth. It can also be caused by trauma or infection. Uterine perforation can lead to serious complications, such as bleeding, infection, and damage to surrounding organs. If left untreated, it can be life-threatening. Symptoms of uterine perforation may include severe abdominal pain, heavy vaginal bleeding, fever, and signs of shock. Immediate medical attention is required for proper diagnosis and treatment.

An Intrauterine Device (IUD) is a long-acting, reversible contraceptive device that is inserted into the uterus to prevent pregnancy. It is a small T-shaped piece of flexible plastic with strings attached to it for removal. There are two types of IUDs available: hormonal and copper. Hormonal IUDs release progestin, which thickens cervical mucus and thins the lining of the uterus, preventing sperm from reaching and fertilizing an egg. Copper IUDs, on the other hand, produce an inflammatory reaction in the uterus that is toxic to sperm and eggs, preventing fertilization.

IUDs are more than 99% effective at preventing pregnancy and can remain in place for several years, depending on the type. They are easily removable by a healthcare provider if a woman wants to become pregnant or choose another form of contraception. IUDs do not protect against sexually transmitted infections (STIs), so it is important to use condoms in addition to an IUD for protection against STIs.

In summary, Intrauterine Devices are small, T-shaped plastic devices that are inserted into the uterus to prevent pregnancy. They come in two types: hormonal and copper, both of which work by preventing fertilization. IUDs are highly effective, long-acting, and reversible forms of contraception.

An Intrauterine Device (IUD) is a small, T-shaped device that is inserted into the uterus to prevent pregnancy. The copper IUD is a type of long-acting reversible contraception (LARC) that releases copper ions, which are toxic to sperm and egg, preventing fertilization. It is one of the most effective forms of birth control available, with a failure rate of less than 1%.

The copper IUD can be used by women who have previously given birth as well as those who have not. It can be inserted up to five days after unprotected intercourse as emergency contraception to prevent pregnancy. Once inserted, the copper IUD can remain in place for up to ten years, although it can be removed at any time if a woman wants to become pregnant or for other reasons.

Copper IUDs are also used as an effective treatment for heavy menstrual bleeding and can be used to manage endometriosis-associated pain. Common side effects of copper IUDs include heavier and longer menstrual periods, cramping during insertion, and irregular periods during the first few months after insertion. However, these side effects usually subside over time.

It is important to note that while copper IUDs are highly effective at preventing pregnancy, they do not protect against sexually transmitted infections (STIs). Therefore, it is still recommended to use condoms or other barrier methods of protection during sexual activity to reduce the risk of STIs.

Dilatation and Curettage (D&C) is a medical procedure commonly performed on the uterus. The term "dilatation" refers to the widening or opening of the cervix, which is the lower part of the uterus that opens into the vagina. This is achieved using dilators, which are gradually inserted into the cervical canal to stretch it open.

The term "curettage" refers to the scraping or suctioning out of tissue from the lining of the uterus (endometrium). A curette, a long, loop-shaped surgical instrument, is used to scrape the lining, or suction equipment may be used to remove the tissue.

A D&C procedure is typically performed to diagnose and treat various conditions affecting the uterus, such as abnormal uterine bleeding, heavy menstrual periods, endometrial hyperplasia, or to remove residual tissue after a miscarriage or abortion. It's usually a minor surgical procedure that can be done in a hospital, clinic, or doctor's office, and is often performed under local anesthesia, conscious sedation, or general anesthesia depending on the situation and patient preference.

An intrauterine device (IUD) is a small, T-shaped birth control device that is inserted into the uterus to prevent pregnancy. A medicated IUD is a type of IUD that contains hormones, which are released slowly over time to provide additional benefits beyond just contraception.

There are two types of medicated IUDs available in the US market: levonorgestrel-releasing intrauterine system (LNG-IUS) and the copper intrauterine device (Cu-IUD). The LNG-IUS releases a progestin hormone called levonorgestrel, which thickens cervical mucus to prevent sperm from reaching the egg, thins the lining of the uterus to make it less likely for a fertilized egg to implant, and can also inhibit ovulation in some women. The Cu-IUD is non-hormonal and works by releasing copper ions that create a toxic environment for sperm, preventing them from reaching the egg.

Medicated IUDs are highly effective at preventing pregnancy, with typical use failure rates of less than 1% per year. They can remain in place for several years, depending on the brand, and can be removed at any time by a healthcare provider if a woman wants to become pregnant or experience side effects. Common side effects of medicated IUDs may include irregular menstrual bleeding, cramping, and spotting between periods, although these tend to improve over time.

Intestinal perforation is a medical condition that refers to a hole or tear in the lining of the intestine. This can occur anywhere along the gastrointestinal tract, including the small intestine, large intestine (colon), or stomach. Intestinal perforation allows the contents of the intestines, such as digestive enzymes and bacteria, to leak into the abdominal cavity, which can lead to a serious inflammatory response known as peritonitis.

Intestinal perforation can be caused by various factors, including:

* Mechanical trauma (e.g., gunshot wounds, stab wounds)
* Inflammatory bowel disease (e.g., Crohn's disease, ulcerative colitis)
* Diverticulitis
* Appendicitis
* Intestinal obstruction
* Infections (e.g., typhoid fever, tuberculosis)
* Certain medications (e.g., nonsteroidal anti-inflammatory drugs, corticosteroids)
* Radiation therapy
* Ischemic bowel disease (lack of blood flow to the intestines)

Symptoms of intestinal perforation may include sudden abdominal pain, nausea, vomiting, fever, and decreased bowel movements. Treatment typically involves surgery to repair the perforation and remove any damaged tissue. Antibiotics are also administered to prevent infection. In severe cases, a temporary or permanent colostomy or ileostomy may be necessary.

Uterine rupture is a serious obstetrical complication characterized by the disruption or tearing of all layers of the uterine wall, including the serosa (outer covering), myometrium (middle layer of muscle), and endometrium (inner lining). This can occur during pregnancy, labor, or delivery. In some cases, it may also involve the rupture of the adjacent structures such as bladder or broad ligament. Uterine rupture is a medical emergency that requires immediate surgical intervention to prevent maternal and fetal mortality or morbidity.

The symptoms of uterine rupture might include severe abdominal pain, vaginal bleeding, loss of fetal heart rate, changes in the mother's vital signs, and shock. The risk factors for uterine rupture include previous cesarean delivery, grand multiparity (having given birth to five or more pregnancies), use of labor-inducing drugs like oxytocin, and instrumental deliveries with vacuum extractors or forceps.

The management of uterine rupture typically involves an emergency laparotomy (open abdominal surgery) to repair the tear and stop any bleeding. In some cases, a hysterectomy (removal of the uterus) may be necessary if the damage is too severe or if there are other complications. The prognosis for both mother and baby depends on various factors like the extent of the injury, timeliness of treatment, and the overall health status of the patient before the event.

Hysteroscopy is a diagnostic procedure that allows healthcare professionals to examine the interior of the uterus (hyster(o)- and -scopy from Greek "womb" + "examination"). It is performed using a hysteroscope, which is a thin, lighted tube with a camera attached to its end. The hysteroscope is inserted through the vagina and cervix into the uterus, enabling the visualization of the uterine cavity and the detection of any abnormalities, such as polyps, fibroids, or structural issues like a septum.

Hysteroscopy can be performed in a doctor's office or an outpatient surgical center under local, regional, or general anesthesia depending on the situation and patient comfort. The procedure may also be used for minor surgical interventions, such as removing polyps or fibroids, or to assist with other procedures like laparoscopy.

In summary, hysteroscopy is a medical examination of the uterine cavity using a thin, lighted tube called a hysteroscope, which can aid in diagnosing and treating various conditions affecting the uterus.

Foreign-body migration is a medical condition that occurs when a foreign object, such as a surgical implant, tissue graft, or trauma-induced fragment, moves from its original position within the body to a different location. This displacement can cause various complications and symptoms depending on the type of foreign body, the location it migrated to, and the individual's specific physiological response.

Foreign-body migration may result from insufficient fixation or anchoring of the object during implantation, inadequate wound healing, infection, or an inflammatory reaction. Symptoms can include pain, swelling, redness, or infection at the new location, as well as potential damage to surrounding tissues and organs. Diagnosis typically involves imaging techniques like X-rays, CT scans, or MRIs to locate the foreign body, followed by a surgical procedure to remove it and address any resulting complications.

Esophageal perforation is a medical condition that refers to a hole or tear in the esophagus, which is the muscular tube that connects the throat to the stomach. This condition can occur as a result of various factors such as trauma, forceful vomiting (Boerhaave's syndrome), swallowing sharp objects, or complications from medical procedures like endoscopy.

Esophageal perforation is a serious medical emergency that requires immediate attention and treatment. If left untreated, it can lead to severe complications such as mediastinitis (inflammation of the tissue surrounding the heart), sepsis, and even death. Treatment typically involves surgical repair of the perforation, antibiotics to prevent infection, and supportive care to manage any associated symptoms or complications.

Levonorgestrel is a synthetic form of the natural hormone progesterone, which is used in various forms of birth control and emergency contraceptives. It works by preventing ovulation (the release of an egg from the ovaries), thickening cervical mucus to make it harder for sperm to reach the egg, and thinning the lining of the uterus to make it less likely for a fertilized egg to implant.

Medically, Levonorgestrel is classified as a progestin and is available in various forms, including oral tablets, intrauterine devices (IUDs), and emergency contraceptive pills. It may also be used to treat endometriosis, irregular menstrual cycles, and heavy menstrual bleeding.

It's important to note that while Levonorgestrel is a highly effective form of birth control when used correctly, it does not protect against sexually transmitted infections (STIs). Therefore, condoms should still be used during sexual activity if there is any risk of STI transmission.

The uterus, also known as the womb, is a hollow, muscular organ located in the female pelvic cavity, between the bladder and the rectum. It has a thick, middle layer called the myometrium, which is composed of smooth muscle tissue, and an inner lining called the endometrium, which provides a nurturing environment for the fertilized egg to develop into a fetus during pregnancy.

The uterus is where the baby grows and develops until it is ready for birth through the cervix, which is the lower, narrow part of the uterus that opens into the vagina. The uterus plays a critical role in the menstrual cycle as well, by shedding its lining each month if pregnancy does not occur.

Tympanic membrane perforation, also known as a ruptured eardrum, is a tear or hole in the tympanic membrane, which separates the outer ear canal and the middle ear. The tympanic membrane plays a crucial role in hearing by transmitting sound vibrations from the outer ear to the inner ear. A perforation can result from various causes such as infection, trauma, pressure changes, or explosive blasts, leading to symptoms like hearing loss, tinnitus, vertigo, and ear discharge. The extent and location of the perforation determine the severity of the symptoms and the course of treatment, which may include observation, antibiotics, or surgical repair.

Uterine rupture ""You need not worry about long-term effects either. A uterine perforation presents no risk of uterine rupture ... "In most cases of perforation there are no long term consequences." utdol.com > Uterine perforation during gynecologic ... Uterine perforation is a potential complication of any intrauterine procedure. It may be associated with injury to surrounding ... "Uterine perforations ... are rarely noticed and almost never dangerous.... Since none of these resulted in complications, ... ...
Uterine perforation Toppenberg, KS; Block WA, Jr (1 September 2002). "Uterine rupture: what family physicians need to know". ... In 2006, an extremely rare case of uterine rupture in a first pregnancy with no risk factors was reported. Uterine rupture ... Uterine dehiscence is a less severe condition in which there is only incomplete separation of the old scar. Treatment involves ... Rates of uterine rupture during vaginal birth following one previous C-section, done by the typical technique, are estimated at ...
... the length of the uterus is measured for proper insertion with a uterine sound for decreasing chance of uterine perforation ... Rarely uterine perforation may occur. Use is not recommended during pregnancy but is safe with breastfeeding. The IUD with ... With postpartum insertions, perforation of the uterus is more likely to occur when uterine involution is incomplete; involution ... Perforation: Very rarely, the IUD can be pushed through the wall of the uterus during insertion. Risk of perforation is mostly ...
Types include gastrointestinal perforation and uterine perforation. Lee, CH (1 March 2021). "Indirect Radiological Signs of ... Organ perforation is a complete penetration of the wall of a hollow organ in the body, such as the gastrointestinal tract in ... It mainly refers to accidental or pathologic perforation, rather than intentional penetration during surgery. It can lead to ... Hollow Organ Perforation". Journal of Acute Medicine. 11 (1): 28-31. doi:10.6705/j.jacme.202103_11(1).0005. PMC 8075965. PMID ...
Another risk of D&C is uterine perforation. The highest rate of uterine perforation appears to be in the setting of postpartum ... including through uterine perforation. Aside from the surgery itself, complications related to anesthesia administration may ... to remove tissue in the uterus that may be causing abnormal uterine bleeding, such as endometrial polyps or uterine fibroids; ... Hysteroscopy is a valid alternative or addition to D&C for many surgical indications, from diagnosis of uterine pathology to ...
The technique enabled doctors to minimize uterine perforation. In 1992, Neuwirth authored the first report on long-term outcome ... of menstrual function following hysteroscopic endometrial ablation, a treatment for abnormal uterine bleeding. He is also the ...
A uterine perforation or an infection are rare complications. Endometrial biopsy pain is quite common. The reason that doctors ... The biopsy curette will be inserted into the uterine fundus and with a scraping and rotating motion some tissue will be removed ... In patients with suspected uterine cancer, the biopsy may discover the presence of cancer cells in the endometrium or cervix. ...
Uterine perforation may occur during a D&C or an endometrial biopsy. Side effects of surgery to remove endometrial cancer can ... Endometrial cancer is sometimes loosely referred to as "uterine cancer", although it is distinct from other forms of uterine ... Stage I ESS has the best prognosis, with five-year survival of 98% and ten-year survival of 89%. ESS makes up 0.2% of uterine ... Type II endometrial cancers are often high-grade, with deep invasion into the underlying uterine wall (myometrium), are of the ...
"Asymptomatic isthmico-cervical uterine perforation with IUD - our experience and literature review". Clinical and Experimental ... Fibroid may refer to: Uterine fibroid (UFs) or fibroid, a benign growth in the uterus composed of: Leiomyoma, a benign smooth ... Uterine fibroids". The New England Journal of Medicine. 372 (17): 1646-1655. doi:10.1056/NEJMcp1411029. ISSN 1533-4406. PMID ... Symptoms of fibroids include: Abnormal uterine bleeding (AUB) Bulk related symptoms such as pelvic pressure or pain ...
Very rarely, uterine perforation may occur during insertion if not done properly. The copper IUD is a type of long-acting ... Perforation: Very rarely, the IUD can move through the wall of the uterus. Risk of perforation is mostly determined by the ... Uterine sounding may be used to measure the length and direction of the cervical canal and uterus in order to decrease the risk ... of uterine perforation. The IUD is placed using a narrow tube, which is inserted through the cervix into the uterus. Short ...
Preparation may also reduce the rare complications of uterine perforation and cervical injury. Options for cervical preparation ... From that point, pressure from the presenting part (head in vertex births or bottom in breech births), along with uterine ... Goer further notes that in the smaller study, an external fetal monitor was used, and no uterine hyperstimulation was noted.[ ... a hormone which is necessary for uterine contractions. Nipple stimulation can be performed manually, by use of a breast pump, ...
Complications, which are rare, can include uterine perforation, pelvic infection, and retained products of conception requiring ... Prior surgical uterine evacuation for either I-TOP[induced termination of pregnancy] or SAB[spontaneous abortion, - also known ... D&C is a standard gynecological procedure performed for a variety of reasons, including examination of the uterine lining for ... Li WW, Yau TN, Leung CW, Pong WM, Chan MY (February 2009). "Large-cell neuroendocrine carcinoma of the uterine cervix ...
... measures such as laparoscopy are used in conjunction with hysteroscopy as a protective measure against uterine perforation. ... If the uterine cavity is adhesion free but the ostia remain obliterated, IVF remains an option. If the uterus has been ... It is characterized by variable scarring inside the uterine cavity, where in many cases the front and back walls of the uterus ... AS can develop even if the woman has not had any uterine surgeries, trauma, or pregnancies. While rare in North America and ...
Patients who have recently undergone an intact D&E are monitored for signs of coagulopathy, uterine perforation, uterine atony ... In cases of uterine atony and corresponding blood loss, methergine or misoprostol can be given to encourage uterine contraction ... or uterine injury. Overall, the complication rate is low, with rates of serious complications (those requiring blood ...
A possible problem is uterine perforation when either the hysteroscope itself or one of its operative instruments breaches the ... Myomectomy for uterine fibroids. Congenital uterine malformations (also known as Mullerian malformations). Evacuation of ... It is introduced in a sheath that provides an inflow and outflow channel for insufflation of the uterine cavity. In addition, ... Hysteroscopy is the inspection of the uterine cavity by endoscopy with access through the cervix. It allows for the diagnosis ...
... cervical or uterine perforation, retention of the dilator, and infection. Original Dilapan dilators were prone to fracturing ... A speculum is placed in the vagina to allow the provider to see the uterine cervix. A tenaculum may be placed on the anterior ... Osmotic dilators are medical implements used to dilate the uterine cervix by swelling as they absorb fluid from surrounding ... achieving vaginal delivery within 24 hours with laminaria compared to prostaglandin E2 but there may be a lower risk of uterine ...
... or uterine perforations, with the most historically common problems in emergency rooms being sepsis and hemorrhage. The women ...
... and rarely uterine perforation. A small probability of pregnancy remains after IUD insertion, and when it occurs, there is a ... As a result, they are used to treat menorrhagia (heavy menses), once pathologic causes of menorrhagia (such as uterine polyps) ... Their primary mechanism of action is inducing a local foreign body reaction, which makes the uterine environment hostile both ... More serious potential complications include expulsion (2-5%) and rarely perforation of the uterus (less than 0.7%). IUDs do ...
... risk of colonic perforation exists in vascular Ehlers-Danlos syndrome. Pregnancy increases the likelihood of uterine rupture. ... Maternal mortality is around 12%. Uterine hemorrhage can occur during the postpartum recovery. Ehlers-Danlos syndromes are ... uterine tearing, or premature rupture of membranes Hearing loss may occur in some types Eye: Nearsightedness, retinal tearing ...
... cervical tear or uterine perforation, danger to subsequent pregnancies, including the ability to carry a child to full term, ...
... uterine rupture MeSH C21.866.761.853.500 - uterine perforation MeSH C21.866.797.240 - crush syndrome MeSH C21.866.819.339 - ...
... uterine perforation, blood clots, cervical tears, or allergic reactions occur. It is irresponsible for physicians to perform ...
Eardrum perforation Esophageal perforation Gastrointestinal perforation Nasal septum perforation Stercoral perforation Uterine ... A perforation is a small hole in a thin material or web. Perforation may also refer to: A leaf feature Perforation (oil well), ... a term used in philately Postage stamp perforation, used to separate postage stamps Film perforations, the holes placed in the ... perforation This disambiguation page lists articles associated with the title Perforation. If an internal link led you here, ...
Additionally, by maintaining patient's consciousness one can diagnose the complications like uterine perforation, ... The uterine curettage is generally done under the effect of anesthesia, preferably spinal anesthesia in hemodynamically stable ... Hydatidiform moles should be treated by evacuating the uterus by uterine suction or by surgical curettage as soon as possible ... This condition is named persistent trophoblastic disease (PTD). The moles may intrude so far into the uterine wall that ...
They cause powerful uterine contractions, leading to the expulsion of the fetus. When taken clandestinely, pregnant people do ... In these cases, the uterus may be incompletely cleaned out, leading to infection, or even perforation, causing internal ...
Some solid malignant tumors, ( colonic, uterine and bronchogenic, and head and neck necrotic tumors, are more likely to become ... These include extension of retropharyngeal cellulitis or abscess, mediastinitis following esophagus perforation, and dental or ... Perforated appendicitis, diverticulitis, inflammatory bowel disease with perforation and gastrointestinal surgery are often ... peritonitis and abdominal abscesses following viscus perforation, abscesses in and around the oral and rectal areas, pus- ...
Shim HJ, Hong YK, Kim SJ, Choi YJ, Kang JG (2010). "Carcinosarcoma on ascending colon found by bowel perforation: a case report ... Adenosarcoma Uterine adenosarcoma Zidar N, Gale N (2015). "Carcinosarcoma and spindle cell carcinoma--monoclonal neoplasms ... prognostic predictors and outcomes of uterine carcinosarcomas". Cancer Res Treat. 47 (2): 282-289. doi:10.4143/crt.2014.009. ...
Bleeding due to a ruptured ectopic pregnancy or uterine rupture. Rupture of corpus luteum in some cases. Less commonly, ... Perforation of the colon Hemoperitoneum can be reliably diagnosed with the following examinations:[citation needed] Focused ...
Uterine preservation and minimal incision size should be performed as they prevent damage to the urogenital system. Initially ... From 2008 to 2010, three deaths were associated with transvaginal mesh surgery for POP repair due to bowel perforation and ... Other common complications include urinary problems, abnormal bleeding, organ perforation while some rare complications, such ... uterine prolapse correction). For cystocele corrections, horizontal arms will be inserted on the lateral bladder walls through ...
Vacuuming as a means of removing the uterine contents, rather than the previous use of a hard metal curette, was pioneered in ... perforation) that may cause injury to other internal organs. Blood clots can possibly form within the uterus and block outflow ... The pump creates a vacuum and suction which empties uterine contents, which either enter a canister or the syringe. After a ... When used for pregnancy evacuation, vacuum aspiration is 98% effective in removing all uterine contents. One of the main ...
Uterine rupture ""You need not worry about long-term effects either. A uterine perforation presents no risk of uterine rupture ... "In most cases of perforation there are no long term consequences." utdol.com > Uterine perforation during gynecologic ... Uterine perforation is a potential complication of any intrauterine procedure. It may be associated with injury to surrounding ... "Uterine perforations ... are rarely noticed and almost never dangerous.... Since none of these resulted in complications, ... ...
Uterine perforation during dilation and evacuation prior to fetal extraction- Now what? A case report. In: Journal of ... Uterine perforation during dilation and evacuation prior to fetal extraction- Now what? A case report. / Chen, Melissa J.; York ... Chen MJ, York S, Hammond C, Gawron L. Uterine perforation during dilation and evacuation prior to fetal extraction- Now what? A ... CONCLUSION: Uterine perforation during D&E often requires laparotomy to repair the defect and to evaluate for injury to ...
Uterine Perforation Risk From Mirena. The Risks Of Unapproved IUDs. Maybe Its Time To Switch?. ...
Hematometra Retained products of conception Uterine perforation Bowel and bladder injury Failed abortion Septic abortion ... Failure to diagnose uterine perforation may lead to life-threatening complications: In postabortion patients with abdominal ... Koshiba A, Koshiba H, Noguchi T, Iwasaku K, Kitawaki J. Uterine perforation with omentum incarceration after dilatation and ... Bowel perforation secondary to illegally induced abortion: a tertiary hospital experience in Tanzania. World J Emerg Surg. 2012 ...
Intrauterine devices and the risk of uterine perforation: interim results from the EURAS-IUD study. Posted: 2017-01-13. ...
Five patients sustained uterine perforation at the time of D&C. Four of the 5 perforations occurred in women who were 15 weeks ... The risk of uterine perforation was significantly higher in women who were , 15 weeks postpartum. We conclude that in a ... The results also indicate that the risk of uterine perforation appears to be markedly increased up to 15 weeks postpartum. ... The endometrial sampling was associated with five uterine perforations and one readmission for bleeding and did not uncover any ...
Copper T (380 A) and risk of uterine perforation in lactating women: rural scenario Authors. * Meena Armo Department of ... Copper T 380A, Lactating women, Uterine perforation Abstract. Background: Copper T 380 A is commonly used as PPIUCD as well as ... Results: There was one case of partial uterine perforation, one case of copper T lying in peritoneal cavity, two cases of ... Risk of uterine perforation with levonorgestrel-releasing and copper intrauterine devices in the European Active Surveillance ...
May cause infections, uterine perforation Oral Contraceptive Hormone medication taken daily Stops release of FSH and LH, but ... Ovarian and Uterine Cycles in the Nonpregnant Woman. An ovary about to release an egg.. Ovarian Cycle Events Uterine Cycle ... The reproductive cycle can be divided into an ovarian cycle and a uterine cycle (compare ovarian histology and uterine ... Smooth muscle in uterine wall. Contracts to help expel the baby. The Female Reproductive Cycle. Towards the end of puberty, ...
Uterine perforation, where the IUD punctures the uterine wall. This can cause severe bleeding and result in infection. ...
b) Uterine perforation.. (c) Cervical laceration requiring suture or repair.. (d) Heavy bleeding or hemorrhage with estimated ...
... uterine or cervical cancer, uterine or cervical perforation, partial expulsion, and pregnancy. Use with caution if any of the ... Exclude uterine perforation if exceptional pain or bleeding occurs after insertion. Ensure device is intact after removal. ... If perforation occurs, locate and remove IUD; delayed detection or removal in cases of perforation may result in migration of ... Perforation: Total or partial perforation may occur, most often during insertion but can occur at any time during use. ...
IUCDs (IUDs) may cause bladder or uterine perforation. The sooner a patient has a uterine perforation after IUCD placement, the ... Uterine leiomyoma. Uterine leiomyomata are benign tumors of the uterine musculature that are a common cause of dysmenorrhea ... Adenomyosis is defined as an invasion of myometrium by uterine adrenal glands. It is a rare disease and can resemble uterine ... Laparoscopic CO2 laser uterine nerve ablation for treatment of drug resistant primary dysmenorrhea. Fertil Steril. 1992 Aug. 58 ...
... , Uterine Scar Disruption, Rupture of Gravid Uterus, Rupture of Uterus During Labor. ... Rupture of uterine scar. *Cesarean Section scar (most common cause). *Prior uterine curettage or perforation ... Uterine Rupture. Uterine Rupture Aka: Uterine Rupture, Uterine Scar Disruption, Rupture of Gravid Uterus, Rupture of Uterus ... Uterine scar risk: Up to 0.3 to 1.7% of all deliveries with prior cesarean. *Low transverse scar (VBAC, Vaginal Birth after ...
2016). Intrauterine devices and risk of uterine perforation: Current perspectives. DOI:. https://dx.doi.org/10.2147%2FOAJC. ...
Uterine perforation (accidentally putting a hole in the uterus with one of the instruments used) ...
Many women have lost their lives as a result of uterine perforation. See Operation Rescues 24-page archive of documented ... up to 22 weeks gestation and has a long history causing injuries such as dangerous life-threatening uterine perforations that ... often laceration of the cervix and perforation of the uterus. ...
Perforation of the uterine wall. *Embedment of the device in the uterine wall ...
Uterine Perforation During Abortion. Nov 04, 2013 by ArtiModi. No Comments. Medical malpractice attorneys benefit from the ...
Caliskan E, Ozturk N, Dilbaz BO, Dilbaz S. Analysis of risk factors associated with uterine perforation by intrauterine devices ... a. Distorted uterine cavity (any congenital or acquired uterine abnormality distorting the uterine cavity in a manner that is ... Uterine fibroids. 2. 2. Evidence: Among women with uterine fibroids using an LNG-IUD, most experienced improvements in serum ... Evidence for infection, perforation, and removals for pain or bleeding are limited; however, these events are rare (11-62).. ...
IUD uterine perforations are rare, but they may cause severe pain. They may also cause heavy bleeding and severe pain during ...
Uterine perforation during coil placement. - Missed diagnosis of hydronephrosis resulting in loss of kidney ...
1. Perforation of uterine wall. 2. Ectopic pregnancy. 3. Intrauterine pregnancy. 4. Group A streptococcal sepsis ... 6. Embedment of the device in the uterine wall. Only patient and her physician can determine if Mirena fits their needs. Mirena ...
Potential risks of insertion include exacerbation of pelvic infection, uterine perforation and expulsion. Screening for ... The Levonorgestrel Intra-Uterine System. The levonorgestrel intra-uterine system (Mirena) is a long-acting reversible ... Congenital uterine arteriovenous malformations are a very rare cause of menorrhagia in adolescents, and can be diagnosed on ... Sanguin S, Lanta-Delmas S, Le Blanche A, Grardel-Chambenoit E, Merviel P, Gondry J, Fauvet R: Uterine arteriovenous ...
... "uterine perforation and complications.". • August 5, 2011: Sharpe conducted a disastrous abortion on "Patient 2." Her pre-born ... "repair the perforation and remove the retained fetal cranium and tissue from the patients abdominal cavity." ...
Based on solid evidence, endometrial biopsy may result in discomfort, bleeding, infection, and rarely, uterine perforation. ... Endometrial sampling in women with uterine bleeding. In the setting of abnormal uterine bleeding, endometrial sampling has ... and rarely uterine perforation. A study designed to evaluate performance, patient acceptance, and cost-effectiveness of blind ... Coates RJ, Click LA, Harlan LC, et al.: Differences between black and white patients with cancer of the uterine corpus in ...
The safety of IUDs is well studied, and the risks of pelvic inflammatory disease, perforation, expulsion, and ectopic pregnancy ... Uterine perforation is a rare complication with IUD insertion. This involves the placement of the IUD through the wall of the ... In a study of 75 uterine perforations between 1996-2009, only 9% had difficult removal by pulling on visible strings, ... Kaislasuo J, Suhonen S, Gissler M, Lähteenmäki P, Heikinheimo O. Uterine perforation caused by intrauterine devices: clinical ...
Nevertheless, nowadays it is known that these interventions do not prevent uterine perforation or improve the outcome [46]. ... In this study, one patient undergoing septum resection had a perioperative uterine perforation. The authors concluded that if ... 4. Congenital uterine anomalies. Congenital uterine anomalies come from failures along any step of the mullerian duct ... which decreases the risk of uterine perforation. However, there should be maximum care when using mechanic and electronic ...
... uterine perforation with a risk of wounding adjoining organs, haemorrhage and, finally, the long term risks of cervical ... No cervical laceration or uterine perforation was reported.. Conclusion: The combination of mifepristone and misoprostol in ...
  • The majority of post-surgical abortion hemorrhages are due to internal injuries inflicted by surgical instruments, often laceration of the cervix and perforation of the uterus. (lifenews.com)
  • Uterine perforation (making a hole in the uterus). (nth.nhs.uk)
  • Uterine rupture is spontaneous tearing of the uterus that may result in the fetus being expelled into the peritoneal cavity. (msdmanuals.com)
  • If the pregnancy continues within the uterus, the risk of placenta accrete or uterine rupture is increased.Objective. (bvsalud.org)
  • This cervical dilatation is the source of the principal complications of abortions including cervical laceration, uterine perforation with a risk of wounding adjoining organs, haemorrhage and, finally, the long term risks of cervical incompetence, late miscarriage and preterm delivery.On the other hand, when cervical dilatation is not adequate at the moment of aspiration, it can also cause other short-term complications: ongoing pregnancy and infection that can affect fertility. (fiapac.org)
  • Background: Cervical preparation prior to dilation and evacuation reduces the risk of rare complications including uterine perforation and cervical laceration. (societyfp.org)
  • Gesta- safe methods of terminating second trimes- tional age was 15-23 weeks (2nd trimester ter pregnancy other than surgery, which pregnancy is defined as the period of preg- can result in serious complications such as nancy from the beginning of the 15th cervical laceration, uterine perforation and through the 28th completed week of gesta- bowel injury. (who.int)
  • There was one case of partial uterine perforation, one case of copper T lying in peritoneal cavity, two cases of expulsion and three cases had embedded copper T in the myometrium. (ijrcog.org)
  • These two gametes meet within the female's uterine tubes located one on each side of the upper pelvic cavity, and begin to create a new individual. (wikibooks.org)
  • To be inserted into uterine cavity. (drugs.com)
  • An ambulance transported her to Botsford Hospital in Farmington Hills, Michigan, where doctors conducted surgery to "repair the perforation and remove the retained fetal cranium and tissue from the patient's abdominal cavity. (operationrescue.org)
  • 2 The Food and Drug Administration (FDA) concurred in this assessment, finding that "IUDs seem to interfere in some manner with the implantation of the fertilized egg in the lining of the uterine cavity. (hli.org)
  • Insert into uterine cavity as directed. (empr.com)
  • Mild to moderate intrauterine adhesions generally yield irregular filling defects in a lacunar pattern and may be identified in any region of the uterine cavity. (glowm.com)
  • In contrast to the sampling of cells of the uterine cervix, analysis of surface epithelial cells of the oral cavity and oropharynx by standard exfoliative cytology has proven to be unreliable in identifying as many as 31% of dysplastic lesions as demonstrated in one study. (medscape.com)
  • Uterine rupture ""You need not worry about long-term effects either. (wikipedia.org)
  • A uterine perforation presents no risk of uterine rupture during pregnancy or any other threat to your health. (wikipedia.org)
  • These images are a random sampling from a Bing search on the term "Uterine Rupture. (fpnotebook.com)
  • Uterine rupture is rare. (msdmanuals.com)
  • If women who have had a prior cesarean delivery wish to try vaginal delivery, prostaglandins should not be used because they increase risk of uterine rupture. (msdmanuals.com)
  • Symptoms and signs of uterine rupture include fetal bradycardia, variable decelerations, evidence of hypovolemia, loss of fetal station (detected during cervical examination), and severe or constant abdominal pain. (msdmanuals.com)
  • Diagnosis of uterine rupture is confirmed by laparotomy. (msdmanuals.com)
  • Treatment of uterine rupture is immediate laparotomy with cesarean delivery and, if necessary, hysterectomy. (msdmanuals.com)
  • Rasheedah Dinkins sued Metropolitan and the NAF after she suffered massive loss of blood from a uterine rupture during a second trimester abortion that resulted in a stroke, a collapsed lung, a tracheotomy, and a hysterectomy. (operationrescue.org)
  • Failure to diagnose uterine perforation may lead to life-threatening complications: In postabortion patients with abdominal pain beyond the pelvic area, suspect perforation and evaluate with kidney, ureter, and bladder (KUB)/upright radiographs, pelvic ultrasonography, or CT. (medscape.com)
  • The safety of IUDs is well studied, and the risks of pelvic inflammatory disease, perforation, expulsion, and ectopic pregnancy are all of very low incidence. (dovepress.com)
  • Caesarean scar ectopic pregnancy (CSEP) is a rare condition in which the implantation of the gestational sac takes place within the uterine scar of a previous caesarean section (CS). (bvsalud.org)
  • Following the two letters, Bayer and Health Canada put out a statement, saying that intrauterine perforation is rare but increases with pregnancy, during lactation, or with atypical anatomy. (trantololaw.com)
  • the authors recommended no treatment for the majority of known or suspected uterine perforations. (wikipedia.org)
  • The risk of perforation due to copper T 380A insertion in lactating women is slightly high, thus timing of insertion, proper counseling and providers training, which are vital factors for intrauterine device use during lactation period, should be considered seriously so as to minimize the complications. (ijrcog.org)
  • Her cause of death was listed as "uterine perforation and complications. (operationrescue.org)
  • Uterine perforation was just one outcome causing "terrible complications", said Dr Mary Lumsden, senior registrar in obstetrics and gynaecology at Edinburgh Royal Infirmary. (healthy.net)
  • Just of those reported to the FDA, the Mirena IUD caused over 50,000 "adverse events," including uterine perforation, IUDs moving out of place, devices falling out, and infections. (lifesitenews.com)
  • The doctor told me I had a severe uterine infection that took my son's life," the woman reported to the FDA. (lifesitenews.com)
  • In addition to 5 fetal deaths, there were 4 reports of adult deaths for reasons such as infection and uterine perforation, the FDA said. (massdevice.com)
  • As FoxNews reported (11/11/12), the request seeks to create a multi-district litigation (MDL) for 16 pending Mirena lawsuits in NJ that allege Mirena caused uterine perforation, infection and hemorrhaging injuries. (lawyersandsettlements.com)
  • Congenital or acquired uterine anomaly including fibroids. (empr.com)
  • Uterine perforation during dilation and evacuation prior to fetal extraction- Now what? (northwestern.edu)
  • BACKGROUND: Uterine perforation is an infrequent but serious complication of dilation and evacuation (D&E). The purpose of this case report is to describe management strategies once a uterine perforation is identified. (northwestern.edu)
  • Evacuation can be completed transcervically under direct visualization or through the perforation site. (northwestern.edu)
  • ABSTRACT To assess the effectiveness of intravaginal misoprostol for second trimester uterine evacuation, we studied 70 women with singleton pregnancies complicated by fetal malformation or dead fetuses. (who.int)
  • The copper T insertion was done by health workers at peripheral health centers with complains of pain lower abdomen, menstrual irregularities, missing thread, vaginal discharge, uterine perforation following Copper T 380 A insertion. (ijrcog.org)
  • Other predisposing factors include congenital uterine abnormalities, trauma, and other uterine surgical procedures such as myomectomies or open maternal-fetal surgery. (msdmanuals.com)
  • CONCLUSION: Uterine perforation during D&E often requires laparotomy to repair the defect and to evaluate for injury to adjacent organs. (northwestern.edu)
  • IUD uterine perforations are rare, but they may cause severe pain. (healthline.com)
  • 5 , 6 Trauma after uterine surgery, including myomectomy and metroplasty, may result in intrauterine adhesions. (glowm.com)
  • only 17 of the 189 parous women without perforation (9%) were 15 weeks postpartum (relative risk, 33.0). (nih.gov)
  • The results also indicate that the risk of uterine perforation appears to be markedly increased up to 15 weeks postpartum. (nih.gov)
  • Studies have reported that interval insertion of intrauterine device in women during their lactation period is associated with high risk of uterine perforation as compared to postpartum insertion similar as our study. (ijrcog.org)
  • however, the absolute risk for perforation remains low ( 11 - 62 , 65 ). (cdc.gov)
  • Risk of perforation, expulsion, and ovarian cysts. (empr.com)
  • Increased risk of perforation in women recently given birth, who are breastfeeding, ≤6 weeks postpartum, if inserted in women with fixed retroverted or not completely involuted uteri. (empr.com)
  • The gynecologist claimed it was appropriate to do a laparoscopic procedure and that bowel perforation was a known risk of the operation. (contemporaryobgyn.net)
  • He argued that an open surgery would not have reduced the risk of bowel perforation, that the perforation was immediately addressed, and that she had recovered from the injury. (contemporaryobgyn.net)
  • The physician argued that a bowel perforation was a known risk of a laparoscopic procedure and she was given instructions to call with any symptoms. (contemporaryobgyn.net)
  • Intrauterine device-related uterine perforation incidence and risk (APEX-IUD): a large multisite cohort study. (bvsalud.org)
  • When she began to deteriorate at home, her husband brought her to the physician's office, where she was sent to the hospital for emergency surgery to repair a bowel perforation. (contemporaryobgyn.net)
  • The endometrial sampling was associated with five uterine perforations and one readmission for bleeding and did not uncover any significant pathology in women under 35. (nih.gov)
  • This Planned Parenthood performs surgical abortions up to 22 weeks gestation and has a long history causing injuries such as dangerous life-threatening uterine perforations that require emergency transport and follow-up hospitalization. (lifenews.com)
  • Kaislasuo J, Suhonen S, Gissler M, Lahteenmaki P, Heikinheimo O. Intruterine Contraception: incidence and factors associated with uterine perforation-a popular- based study. (ijrcog.org)
  • Diagnosis and appropriate correction of intrauterine anomalies are considered et d'Application en Chirurgie essential in order to increase chances of conception. (who.int)
  • Uterine perforation is a potential complication of any intrauterine procedure. (wikipedia.org)
  • Intrauterine device users may experience abnormal uterine bleeding as one of the main adverse effects. (healthcanal.com)
  • Uterine perforation may occur and may reduce contraceptive effectiveness or require surgery. (nih.gov)
  • During the procedure, a small perforation in the uterine wall was detected and a subsequent laparoscopy was done to repair the uterine wall. (contemporaryobgyn.net)
  • Many women have lost their lives as a result of uterine perforation. (lifenews.com)
  • Abnormal uterine findings were de Recherche et d'Application en identified in 95.8% of patients attending hysteroscopy at GESHRTH. (who.int)
  • Typically, a perforation heals up and you never know it was there," added Dr. Sholes-Douglas. (wikipedia.org)