Open AccessReduced Incidence of Postoperative Endometritis by the use of Laminaria Tents in Connection with First Trimester Abortion
Author(s) -
Bryman I.,
Granberg S.,
Norström A.
Publication year - 1988
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 - 10.1111/j.1600-0412.1988.tb07808.x
Subject(s) - medicine , laminaria , vacuum aspiration , endometritis , cervical canal , abortion , surgery , cervix , uterus , incidence (geometry) , perforation , pregnancy , obstetrics , family planning , population , ecology , genetics , physics , punching , environmental health , materials science , cancer , metallurgy , optics , algae , research methodology , biology
A Laminaria tent was inserted in the cervical canal of 115 primigravidae prior to vacuum aspiration in the first trimester. A mean dilatation of 9.7 mm was thereby achieved. Only 2 of these patients were treated by antibiotics due to ‘mild’ endometritis, as compared with 10 of 130 control patients due to endometritis and 7 patients due to ‘mild’ endometritis. Three non‐treated control patients had to undergo laparoscopy due to perforation of the uterus during dilatation of the cervical canal. It is concluded that pre‐treatment with the Laminaria tent prior to vacuum aspiration reduces the incidence of per‐ and post‐operative complications.