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Re: Inverted uterus From: Braun, R. Daniel (rbraun@iupui.edu) Thu Jul 22 06:26:05 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Braun, R. Daniel: "Re: Inverted uterus" Previous message: Dr Riaan vd Colf: "Re: Inverted uterus" Maybe in reply to: RModugno@aol.com: "Inverted uterus" Next in thread: Braun, R. Daniel: "Re: Inverted uterus" What is the name of that procedure when done abdominally? When done vaginally it is known as the Spinelli procedure. Dan "Sound is like water. If you drill one hole in the wall the sound will leak right through." - JAY BRAUN, a band member by love, a soundproofer by necessity. -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Bernard Cristalli Sent: Wednesday, July 21, 2004 1:52 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Inverted uterus In irreductible cases, prior to a hysterectomy, one can perform a hysterotomy. You cut the stricture and the depression vertically, and the inversion is reduced. You get a scarred uterus, but you still have one. -- Bernard Cristalli MD AMACOG AIHP - ACCA Paris France http://www.CliniquedelEssonne.fr http://www.obgyn.net/corresp/cristalli.htm http://www.gyneweb.fr '64 Mk2 3.8 > De : RModugno@aol.com > > 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. > > It'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 > Next message: Braun, R. Daniel: "Re: Inverted uterus" Previous message: Dr Riaan vd Colf: "Re: Inverted uterus" Maybe in reply to: RModugno@aol.com: "Inverted uterus" Next in thread: Braun, R. Daniel: "Re: Inverted uterus"

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