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Chapter 11c Uterine inversion
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Disclaimer | Introduction | Definition | Recognition | Management | Guideline for O'Sullivan's hydrostatic technique | Surgical management | References | Last reviewed
|  | Surgical management
> If manual / hydrostatic methods are unsuccessful, resuscitate and anaesthetise the woman (halogenated gases may be needed to provide full uterine relaxation). Once anaesthetised and with aid of uterine relaxants, repeat the procedure
> If this fails again proceed to trans vaginal cervical incision and repair or laparotomy to correct the defect
> At laparotomy, the uterine position may be corrected by traction on the round ligaments. If this fails the retraction ring at the level of the cervix should be incised. The incisions should be made at 12 o’clock and 6 o’clock to avoid the uterine vessels. In the trans cervical approach the bladder and rectum are also vulnerable
> Uterotonic drugs are then given to maintain uterine contraction and to prevent reinversion top |
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