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A hysterotomy is an incision made in the uterus. [1] This surgical incision is used in several medical procedures, including during termination of pregnancy in the second trimester (or abortion) and delivering the fetus during caesarean section.
Hypertrophic (very thick or unsightly) scars are best excised because it gives a better cosmetic result and is associated with improved wound healing. On the other hand, keloid scars should have their margins left without any incision because of risk of tissue reaction in the subsequent scar. [10]
Hysterotomy abortion is a surgical procedure that removes an intact fetus from the uterus in a process similar to a cesarean section. The procedure is generally indicated after another method of termination has failed, or when such a procedure would be medically inadvisable, such as in the case of placenta accreta .
An old cesarean scar may undergo dehiscence; with further labor the woman may experience abdominal pain and vaginal bleeding, though these signs are difficult to distinguish from normal labor. Often a deterioration of the fetal heart rate is a leading sign, but the cardinal sign of uterine rupture is loss of fetal station on manual vaginal exam.
[1] [3] [4] The threshold for this is passed when the uterus is so large that the fundus may be palpated at the level of the woman's umbilicus; for a singleton pregnancy, this occurs at around 20 weeks of gestational age [3] [4] (but may be earlier in multiple pregnancy). Although hysterotomy is crucial for resuscitation of the mother in such ...
These skin marks are symptoms of pregnancy caused by the tearing of the dermis, resulting in atrophy and loss of rete ridges. [15] These scars often appear as reddish or bluish streaks on the abdomen, and can also appear on the breasts and thighs. Some of these striae disappear with time, while others remain as permanent discolorations of the body.
Later, Davis also had a hysterectomy during an operation on an abscessed fallopian tube, telling the doctor, "if I wake up and my uterus is still here, I'm going to kick your ass," she recalled.
Abortion may also be performed surgically by hysterotomy or gravid hysterectomy. Hysterotomy abortion is a procedure similar to a caesarean section and is performed under general anesthesia . It requires a smaller incision than a caesarean section and can be used during later stages of pregnancy.