ABSTRACT
PIP: This article reports on an observation case of traumatic hemoperitoneum caused by uterine perforation due to an incorrectly applied coil IUD. After careful examination of the various diagnostic criteria employed in recovering coils in which the thread cannot be retrieved, hysterography is recommended. This technique, previously suggested by Pesetto, is judged to be the only simple way to resolve even complex cases in the space of a few minutes. (author's modified)^ieng
Subject(s)
Intrauterine Devices/adverse effects , Uterine Perforation/etiology , Uterine Rupture/etiology , Adult , Female , Hemoperitoneum/etiology , Humans , Hysterosalpingography , PregnancySubject(s)
Ovarian Neoplasms/pathology , Thecoma/pathology , Adult , Aged , Female , Humans , Ovarian Neoplasms/diagnosis , Thecoma/diagnosisSubject(s)
Fallopian Tubes/cytology , Adult , Cilia , Epithelial Cells , Female , Humans , Menstruation , Middle Aged , Ovulation , Subcellular FractionsSubject(s)
Copper/blood , Iron/blood , Labor, Obstetric , Maternal-Fetal Exchange , Pregnancy , Adult , Female , Humans , Umbilical Cord/blood supplySubject(s)
Abortion, Septic/drug therapy , Genital Diseases, Female/drug therapy , Infections/drug therapy , Penicillins/therapeutic use , Peritonitis/drug therapy , Puerperal Infection/drug therapy , Sepsis/drug therapy , Urinary Tract Infections/drug therapy , Adolescent , Adult , Female , Humans , Injections, Intravenous , Male , Middle Aged , PregnancySubject(s)
Abortion, Spontaneous/surgery , Anesthesia, Conduction , Infertility/surgery , Metrorrhagia/surgery , Minor Surgical Procedures , Uterus/surgery , Adult , Curettage , Dilatation , Female , Ganglionic Blockers , Humans , Male , Middle Aged , PregnancyABSTRACT
PIP: Paracervical block anesthesia was used for 54 patients aged 23-63 years undergoing dilatation and curettage for incomplete abortions and various gynecological disorders. carbocaine (mepivacaine) and hyaluronidase were used. Results were considered excellent or good in all but 4 patients. The authors felt that the method was safe and effective and could routinely be used in minor procedures in place of ge neral anesthesia. The technique is described in detail.^ieng