Uterine myometrial arteriovenous malformations (AVM) are reported on color doppler ultrasonography as mosaic pattern of blood flow with different peak systolic velocities (PSV) at different places. High PSV within the...Uterine myometrial arteriovenous malformations (AVM) are reported on color doppler ultrasonography as mosaic pattern of blood flow with different peak systolic velocities (PSV) at different places. High PSV within the AVM may require arterial embolization as treatment. However, we present a case of traumatic AVM with incomplete abortion managed by hysteroscopic cold knife evacuation. This case report is of a young patient with off and on vaginal bleeding for <span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">3 1/2</span></span></span><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;"> months following 2</span><sup><span style="font-family:Verdana;">nd</span></sup><span style="font-family:Verdana;"> trimester spontaneous abortion. She had undergone dilation and evacuation (D & E) for incomplete abortion. Now the bleeding was heavy and intermittent not responding to medications. The subsequent TVS examination show</span></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">s</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> incomplete abortion with myometrial AVM with high PSV. Hysteroscopic cold knife removal of products of conception resulted in immediate resolution of Uterine AVM.</span></span></span>展开更多
<strong>Background:</strong><span><span><span style="font-family:""><span style="font-family:Verdana;"> The use of barbed suture in laparoscopic surgery is ...<strong>Background:</strong><span><span><span style="font-family:""><span style="font-family:Verdana;"> The use of barbed suture in laparoscopic surgery is increasing ever since 2008. Published reports of use of unidirectional barbed suture for vaginal vault closure following total laparoscopic hysterectomy (TLH), indi</span><span style="font-family:Verdana;">cates it is safe. Despite of this many reports of adhesions and bowel obstruction </span><span style="font-family:Verdana;">are reported. This complication was never assessed in relation to amount of suture exposure at vaginal vault. We thought of quantifying the barbed suture exposure at vaginal vault and assess the risk of post-operative complications. </span><b><span style="font-family:Verdana;">Objective:</span></b><span style="font-family:Verdana;"> The objective was to quantify the exposure of barbed suture at vaginal </span><span style="font-family:Verdana;">vault by adopting a uniform technique of vault suturing and assessing p</span><span style="font-family:Verdana;">ost</span><span><span style="font-family:Verdana;">operative risk related to adhesions at vaginal vault. </span><b><span style="font-family:Verdana;">Method: </span></b><span style="font-family:Verdana;">In 30 pati</span></span><span style="font-family:Verdana;">ents who underwent TLH, a uniform new technique of vaginal vault closure using barbed suture was used and the portion of suture exposed at vaginal vault was quantified. The patients were followed up for a period of 6 months to assess post-operative risk of adhesions at vault and sequalae. </span><b><span style="font-family:Verdana;">Result:</span></b><span style="font-family:Verdana;"> Mean length of suture exposed was 2.64 ± 1.65 mm only. Suture exposure at vaginal vault was seen in 23 (76.67%) out of 30 patients. The suture was exposed on average at 1.57 ± 1.20 places at vaginal vault. </span><b><span style="font-family:Verdana;">Conclusion and Recommendations:</span></b><span style="font-family:Verdana;"> The study with an 展开更多
文摘Uterine myometrial arteriovenous malformations (AVM) are reported on color doppler ultrasonography as mosaic pattern of blood flow with different peak systolic velocities (PSV) at different places. High PSV within the AVM may require arterial embolization as treatment. However, we present a case of traumatic AVM with incomplete abortion managed by hysteroscopic cold knife evacuation. This case report is of a young patient with off and on vaginal bleeding for <span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">3 1/2</span></span></span><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;"> months following 2</span><sup><span style="font-family:Verdana;">nd</span></sup><span style="font-family:Verdana;"> trimester spontaneous abortion. She had undergone dilation and evacuation (D & E) for incomplete abortion. Now the bleeding was heavy and intermittent not responding to medications. The subsequent TVS examination show</span></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">s</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;"> incomplete abortion with myometrial AVM with high PSV. Hysteroscopic cold knife removal of products of conception resulted in immediate resolution of Uterine AVM.</span></span></span>
文摘<strong>Background:</strong><span><span><span style="font-family:""><span style="font-family:Verdana;"> The use of barbed suture in laparoscopic surgery is increasing ever since 2008. Published reports of use of unidirectional barbed suture for vaginal vault closure following total laparoscopic hysterectomy (TLH), indi</span><span style="font-family:Verdana;">cates it is safe. Despite of this many reports of adhesions and bowel obstruction </span><span style="font-family:Verdana;">are reported. This complication was never assessed in relation to amount of suture exposure at vaginal vault. We thought of quantifying the barbed suture exposure at vaginal vault and assess the risk of post-operative complications. </span><b><span style="font-family:Verdana;">Objective:</span></b><span style="font-family:Verdana;"> The objective was to quantify the exposure of barbed suture at vaginal </span><span style="font-family:Verdana;">vault by adopting a uniform technique of vault suturing and assessing p</span><span style="font-family:Verdana;">ost</span><span><span style="font-family:Verdana;">operative risk related to adhesions at vaginal vault. </span><b><span style="font-family:Verdana;">Method: </span></b><span style="font-family:Verdana;">In 30 pati</span></span><span style="font-family:Verdana;">ents who underwent TLH, a uniform new technique of vaginal vault closure using barbed suture was used and the portion of suture exposed at vaginal vault was quantified. The patients were followed up for a period of 6 months to assess post-operative risk of adhesions at vault and sequalae. </span><b><span style="font-family:Verdana;">Result:</span></b><span style="font-family:Verdana;"> Mean length of suture exposed was 2.64 ± 1.65 mm only. Suture exposure at vaginal vault was seen in 23 (76.67%) out of 30 patients. The suture was exposed on average at 1.57 ± 1.20 places at vaginal vault. </span><b><span style="font-family:Verdana;">Conclusion and Recommendations:</span></b><span style="font-family:Verdana;"> The study with an
