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- W1598252011 abstract "Abstract Perforation of the uterus following intrauterine manipulation usually occurs when pregnancy is the motivating factor for such manipulation, and is probably due to the extreme softness and bogginess of the gravid uterine wall. When it occurs accidentally under aseptic conditions, it does not appear to be a major complication providing extrauterine trauma has not occurred, and is treated expectantly with maximal antibiotic therapy to prevent spread of infection. When perforation occurs in the course of a criminal instrumentation, such perforation can usually be recognized and diagnosed at a later time by the presence of a small tender area close to the uterus which is coupled with tenderness on motion of the cervix. Patients with this diagnosis should not be subjected to curettage, but should be allowed to complete the abortion spontaneously. If extrauterine damage is suspected or diagnosed, laparotomy for the repair of such damage is essential at the earliest possible moment. If infection, other than parametritis, has developed as the result of perforation, antibiotic therapy is relatively useless, and gives a false sense of improvement. The procedure found most beneficial is the surgical removal of the infected genital tract together with splitting of the cervix for drainage." @default.
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- W1598252011 date "1951-12-01" @default.
- W1598252011 modified "2023-09-27" @default.
- W1598252011 title "Perforation of the uterus" @default.
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- W1598252011 doi "https://doi.org/10.1016/0002-9378(51)90052-x" @default.
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