Open AccessAcute puerperal inversion of the uterus – treatment by a new abdominal uterus preserving approach
Author(s) -
Tews Gernot,
Ebner Thomas,
Yaman Cemil,
Sommergruber Michael,
Bohaumilitzky Thomas
Publication year - 2001
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.1034/j.1600-0412.2001.801113.x
Subject(s) - uterus , medicine , vagina , cervix , fundus (uterus) , corpus uteri , hysterectomy , anatomy , surgery , gynecology , cancer
Objective. Inversion of the uterus is still a rare (1, 2) but serious and life‐threatening obstetric complication. It is said to be complete when the fundus uteri protrudes through the cervix and into the vagina. Within minutes a state of shock is reached due to pulling forces on the peritoneum as well as blood loss. Methods. The vagina was entered by a longitudinal incision (3 m) below the contraction ring. Through this opening it was possible to advance two fingers (second and third finger of the left hand) into the vagina above the invaginated corpus uteri. The invaginated cavum uteri was loaded on these two fingers and, exerting counterpressure with the right hand, the inside was turned out. Conclusion. The present operative method guarantees easy reposition of the uterus in cases of failed vaginal manual repositioning. Furthermore, the cavum uteri remains intact and hysterectomy can be avoided.