Towards safe and efficient cervical dilatation

Avinoam Tzabari; Amnon Weichselbaum; Michael Stark

doi:10.20517/2574-1225.2018.11

Mini-invasive Surgery ›› 2018, Vol. 2 ›› Issue (1) :9 DOI: 10.20517/2574-1225.2018.11

Original Article

Towards safe and efficient cervical dilatation

Author information +

History +

PDF

Abstract

Aim: Traditional methods of cervical dilatation such as Hegar rods and laminaria are associated with the damage leading to the risk of cervical incompetence or require two sessions with higher risk of infections. In this study, a new dilator based on expanding triple balloons is assessed.

Methods: Cervical dilation with the triple balloon was evaluated in 15 women with various indications. After measuring the diameter of the cervix the triple balloon was inserted and inflated for 5-7 min and thereafter measured again.

Results: This time was sufficient to achieve the diameter of 4.5-9.5 mm which allowed performing all planned procedures without any need for further dilatation except for one case with cervical stenosis.

Conclusion: Further studies are needed, but the triple dilating balloon might become the optimal dilatation method for universal use.

Keywords

Cervical dilatation / hysteroscopy / abortion

Cite this article

Download citation ▾

Avinoam Tzabari, Amnon Weichselbaum, Michael Stark. Towards safe and efficient cervical dilatation. Mini-invasive Surgery, 2018, 2(1): 9 DOI:10.20517/2574-1225.2018.11

登录浏览全文

4963

注册一个新账户忘记密码

References

Publishing order | Descend order by publishing year | Descend order by cited within

[1]	Fluhmann CF.The developmental anatomy of the cervix uteri..Obstet Gynecol1960;15:62-9

[2]	Rorie DK,M.Histologic and chemical studies of the smooth muscle in the human cervix and uterus..Amer J Obst Gynec1967;99:466-9

[3]	Tinelli A,Cavallotti C,Tsin DA,Mettler L.The management of fibroids based on immunohistochemical studies of their pseudocapsules..Expert Opin Ther Targets2011;15:1241-7

[4]	Kavanagh J,Thomas J.Hyaluronidase for cervical ripening and induction of labour..Cochrane Database Syst Rev2006;(2):CD003097

[5]	Roman A,Berghella V.Overview of cervical insufficiency: diagnosis, etiologies, and risk factors..Clin Obstet Gynecol2016;59:237-40

[6]	Weichselbaum A.Uterine cervix dilatation based on new insights of embryology - method description..Obstet Gynecol Rep2017;1:1-3

[7]	Lichtenberg ES.Complications of osmotic dilators..Obstet Gynecol Surv2004;59:528-36

[8]	Sundtoft I,Sandager P,Uldbjerg N.Cervical collagen is reduced in non-pregnant women with a history of cervical insufficiency and a short cervix..Acta Obstet Gynecol Scand2017;96:984-90