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- W4245398840 abstract "Cervical stenosis, and inadvertant creation of a cervical wall defect, is a difficult complication to overcome. This video demonstrates an intraoperative technique to overcome cervical stenosis and creation of a false passage, using hysteroscopic hydrodilation, and vessel dilator over a guide wire. Cervical stenosis, and creation of a cervical stromal tract, during cervical dilation is an infrequent but difficult intraoperative complication to overcome. Preoperative techniques to decrease the risk of this complication have been described, and has proven benefits. Once a false passage has been created, attempts to overcome this complication often results in worsening of the stromal defect, and places the patient at greater risk for perforation at the level of the cervix. This video demonstrates an intraoperative technique to overcome cervical stenosis, and creation of a false passage, using hysteroscopic hydrodilation and a vessel dilator over a guide wire. Hysteroscopic hydrodilation provides adequate distention of both the false passage and endocervical canal, allowing adequate differentiation between the two. This technique also allows proper placement of a guide wire under direct visualization, and subsequent dilation of the obliterated endocervical canal with the vessel dilator. The case presented shows how cervical stenosis and a false passage can be overcome, using a guide wire and vessel dilator, when placed under hysterscopic guidance. These tools are readily available in any operating room." @default.
- W4245398840 created "2022-05-12" @default.
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- W4245398840 date "2015-03-01" @default.
- W4245398840 modified "2023-09-30" @default.
- W4245398840 title "A Novel Approach to Overcoming Cervical Stenosis and False Passages" @default.
- W4245398840 doi "https://doi.org/10.1016/j.jmig.2014.12.140" @default.
- W4245398840 hasPublicationYear "2015" @default.
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