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What to do if there is a uterine perforation?
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Dr. Kevin Balli, MD
54701 Bank of AmericaLos Angeles, CA 90074 ob-gyn
Expert Medical Information
Uterine perforation refers to the situation where during intrauterine operations, such as abortion curettage or hysteroscopy, due to excessive force or relatively weak local uterine muscle layer, the operating instrument penetrates through the uterine muscle layer and enters the pelvic cavity. How to handle uterine perforation mainly depends on the severity of the condition.
1. If it is just a simple uterine perforation with a small amount of bleeding and no damage to the organs within the pelvic cavity, the main approach is conservative treatment. Patients should be kept on nil per os (NPO), and antibacterial drugs and drugs to promote uterine contraction should be used. If the condition is stable, then normal diet can be resumed.
2. If uterine perforation causes a large amount of bleeding or symptoms of peritonitis, it indicates that there may be rupture of local blood vessels or damage to the organs within the pelvic cavity. In this case, immediate exploratory laparotomy should be carried out for local repair or resection.
Common symptoms include fever, fatigue, and discomfort in the affected area. Always consult with a healthcare professional for an accurate diagnosis.
Diagnosis typically involves a physical examination, medical history review, and possibly laboratory tests or imaging studies depending on the suspected cause.
Treatment options vary based on the specific condition, severity, and individual health factors. They may include medication, lifestyle changes, physical therapy, or in some cases, surgical intervention.
Seek immediate medical attention if you experience severe symptoms, rapid worsening of condition, or if self-care measures aren't providing relief within a reasonable timeframe.