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Additionally, hematometra may develop as a complication of uterine or cervical surgery such as endometrial ablation, where scar tissue in the endometrium can "wall off" sections of endometrial glands and stroma causing blood to accumulate in the uterine cavity. [1] It can also develop after abortion, [4] as well as after childbirth.
The uterine cavity is a potential cavity and needs to be distended to allow for inspection. Thus, during hysteroscopy, either fluids or CO 2 gas is introduced to expand the cavity. The choice is dependent on the procedure, the patient's condition, and the physician's preference. Fluids can be used for both diagnostic and operative procedures.
Gynecologic ultrasonography or gynecologic sonography refers to the application of medical ultrasonography to the female pelvic organs (specifically the uterus, the ovaries, and the fallopian tubes) as well as the bladder, the adnexa, and the recto-uterine pouch. The procedure may lead to other medically relevant findings in the pelvis.This ...
The fluid was safely contained in a flexible and non-allergenic Silastic membrane that conformed to most uterine cavity shapes and sizes. Older methods utilize hysteroscopy to insert instruments into the uterus to destroy the lining under visualization using a laser , or microwave probe.
Amnioinfusion is a method in which isotonic fluid is instilled into the uterine cavity.. It was introduced in the 1960s as a means of terminating pregnancy and inducing labor in intrauterine death, but is currently used as a treatment in order to correct fetal heart rate changes caused by umbilical cord compression, indicated by variable decelerations seen on fetal heart rate monitoring.
One method is to introduce air into the uterine cavity and observe air bubbles in the fallopian tubes. [11] The second method is to use distilled water or normal saline to observe the movement of fluid through the tubes. [23] Here, fluid enters the uterus through the cervix via a plastic tube. [24]
An inflated bulb of the catheter prevents leakage of fluid outside uterine cavity. By visualizing the flow of saline along the tube and observing it as a shower at fimbrial end, tubal patency can be tested. Presence of free fluid in pouch of Douglas also confirms tubal patency.
A seroma contains serous fluid. [1] This is composed of blood plasma that has seeped out of ruptured small blood vessels and the inflammatory fluid produced by injured and dying cells. [citation needed] Seromas are different from hematomas, which contain red blood cells, and abscesses, which contain pus and result from an infection.