Silent uterine perforation with Lippes' loop and its management.

Abstract:

:14 cases of silent perforation of the uterus by the Lippes loop are presented. Loop perforations are usually asymptomatic and can be treated conservatively. If complications occur, they require surgical intervention with posterior colpotomy being the procedure of choice if the loop is in the pelvic cavity. Laparotomy is indicated if the loop is in the abdominal cavity. Perforation usually occurs for 3 reasons; lack of experience and unnecessary force at the time of insertion; a hyperkinetic uterus; or a loop larger than the cavity. The best treatment is prevention. The most important indication of perforation is an opening of the coils of the loop as seen by x-ray. Perforation is usually suspected by absence of the nylon thread in the vaginal cavity. The site of perforation usually heals in 1 month and can no longer be detected on examination. None of the 14 cases in this study became pregnant as a result of the perforation.

journal_name

Int Surg

journal_title

International surgery

authors

Mahran M,Karim M,Mahgoub SE

subject

Has Abstract

pub_date

1973-05-01 00:00:00

pages

341-3

issue

5

eissn

0020-8868

issn

2520-2456

journal_volume

58

pub_type

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