-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Inverted uterus From: Steve & Eryl Raymond (eryl@intekom.co.za) Wed Jul 21 23:32:49 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Charlie Chambers: "Re: Inverted uterus" Previous message: Arthur Curtis: "Re: LDR v. LDRP" In reply to: Exuma Pierre Tony: "Re: Inverted uterus" Next in thread: Charlie Chambers: "Re: Inverted uterus" Reply: Charlie Chambers: "Re: Inverted uterus" I echo the congratulations in this case, because of the good outcome, but I would also say that I have experienced two of these and managed successfully to reduce them without surgery using the hydrostatic method. What is required is a large funnel (in fact the old fashioned douche can that I found on the first occasion was best of all) and some tubing of the type usually available as suction tubing. The hand holding one end of the tube is placed in the vagina with the other end attached to the funnel, and sterile water, or saline, is poured into the funnel held at a height of a meter or more above the patient. Making sure that the labia are held round the vaginal hand so as to prevent water coming out of the vagina, and with patience, the water pressure slowly reduces the inversion. You need to use a couple of liters. It helps to relax the uterus with whatever - halothane, nitroglycerine, amyl nitrite - and hey presto no scar! Steve Exuma Pierre Tony wrote: > CONGRATULATIONS ROBERT!!!!!! > > DR EXUMA,MD,OBGYN > > RModugno@aol.com wrote: > > Helped a colleague with an interesting case this last weekend - > patient with an inverted uterus. Primigravida, delivered by CNM - > presented with post-partum hemorrhage - inverted uterus found. > Despite general anesthesia and attempts at cervical relaxation with > IV nitroglycerin - manual reposition failed. > > At laparotomy she had a classic uterine invesion. A modified > Huntington's technique was used to correct the inversion: > figure of 8 sutures were placed in the anterior and posterior > uterine walls at the edge of the "crater", and kelly clamps were > applied to the round ligaments. Upward and outward traction was > applied to the kelly clamps and to hemostats attached to the figure > of 8 sutures. As the uterus began to "right" itself, further figure > of 8's were placed on the anterior and posterior eges of the crater > until the uterus was completely back in position. > > I! t's amazing how much less stressful it is when it's not your patient! > > Even more amazing:Many of the OB's when told about this case > said:"You mean you didn't have to do a hyst?" Seems like we need to > do some CME on the management of this frightening,unusual, > potentially fatal condition! > > Robert Modugno MD MBA FACOG > Marietta, GA > http://www.novaobgyn.yourmd.com > > Vote for the stars of Yahoo!'s next ad campaign! > <http://advision.webevents.yahoo.com/yahoo/votelifeengine/> Next message: Charlie Chambers: "Re: Inverted uterus" Previous message: Arthur Curtis: "Re: LDR v. LDRP" In reply to: Exuma Pierre Tony: "Re: Inverted uterus" Next in thread: Charlie Chambers: "Re: Inverted uterus" Reply: Charlie Chambers: "Re: Inverted uterus"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Sun Nov 2 04:49:17 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.