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- W3008366170 abstract "Discuss management of cervical stenosis and techniques for avoidance of perforation, as well as risks for uterine perforation, sites of potential perforation, and management options in the event of a perforation. Hysteroscopy, while a low-risk procedure, can be associated with significant risks, including creation of a false passage during dilation. This risk is increased in the setting of cervical stenosis. Our video discusses the risks factors for cervical stenosis, the preoperative and intraoperative management techniques of this condition, and demonstrates a case of hysteroscopic uterine perforation in a patient with known cervical stenosis. We identify the potential sites through which a perforation may occur, and management of defects at these sites. In our case study, the perforation occurred through the right broad ligament and lacerated the right uterine artery, which required laparoscopic exploration of the broad ligament and ligation of the uterine artery. This video will provide a thorough review of cervical stenosis as well as uterine perforation, and will discuss the management options in both scenarios, and will demonstrate one such case, in which the uterus was perforated along the right cervical canal into the right broad ligament, lacerating the uterine artery in the process. We also demonstrate the process of identifying the defect and repairing it laparoscopically." @default.
- W3008366170 created "2020-03-06" @default.
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- W3008366170 date "2020-03-01" @default.
- W3008366170 modified "2023-09-26" @default.
- W3008366170 title "81: Hysteroscopic uterine artery laceration in setting of cervical stenosis: A case study" @default.
- W3008366170 doi "https://doi.org/10.1016/j.ajog.2019.12.230" @default.
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