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Carbon dioxide hysteroscopy immediately after second trimester abortion
Author(s) -
Van Lith D.A.F.,
Beekhuizen W.,
Van Schie K.J.,
Van Der Pas H.,
Lindemann H.J.
Publication year - 1983
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/0020-7292(83)90049-8
Subject(s) - medicine , hysteroscopy , lidocaine , products of conception , uterine cavity , anesthesia , incomplete abortion , suction , uterus , paracervical block , obstetrics , abortion , pregnancy , misoprostol , biology , genetics , mechanical engineering , engineering
The use of hysteroscopy has been restricted a.o. by the need for general anesthesia. This applies in particular to the pre‐ or postpartum period, because the hyperemic atonic uterus is easily over‐inflated to a dangerous level. Over‐inflation did not occur following 50 aspirotomy D & E procedures in the second trimester, using a para‐ and intracervical block with lidocaine 1% with adrenaline 1:200,000 only. The uterine cavity was always thoroughly evacuated in these cases in which final check suction had been performed. We recommend that postabortum hysteroscopy should be performed preferably under local anesthesia.