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Korean Journal of Obstetrics & Gynecology 1999;42(7):1616-1619.
Published online January 1, 2001.
A Case of Removal of Migrated Intrauterine Vinyl Tube During Abortion.
B J Bai
Abstract
In the early stage of pregnancy, obstetrician often need sufficient cervical dilatation before performing certain intracervical obstetric maneuvers. Hegar dilators can attain rapid and direct cervical dilatation to a certain extent. However, this method has limitations, and sometimes more gradual and extensive dilatation is necessary. Laminaria tents have been preferred for the purpose of gradual cervical dilatation for more than 100 years, the various foreign bodies in the uterine cervix in the early stage of pregnancy act as Laminasia dose, although efficiency differs with the nature for the substance. The most successful, convenient, and inexpensive substances were a piece of rubber tube or No. 7~8 Nelaton catheter cut in lengths of about 7 cm. With or without predilatation of the cervical canal by metal dilators, usually sterilized Nelaton catheter or rubber tube are inserted in the cervix. The cervix is significantly softened and it is to some extent dilated over 5~24 hours, as is the care with Laminaria. A short rubber tube shaped like a golf tee would probably be convenient for practical use if manufactured.In Korea, at one time[during 1950~60], some of obstetricians applied insertion of a short rubber bougie before evacuation of uterine contents for interruption of the early pregnancy. Recently, one of very rare case of intrauterine migrated double folded Vinyl tube was treated accidentally, which is inserted to cervical canal for the purpose to soften and dilate the cervix for easy curettage.
Key Words: Nelaton, rubber tube, abortion


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