While doing suction & evacuation, there is perforation of an organ marked in the picture below. Next step is ?
Organ marked in the picture above represents uterus.
Complication of suction & evacuation (S&E) and management
- Diagnostic laparoscopy is often helpful to assess the size and site of perforation & the amount of haemorhhage.
- If perforation has occurred prior to complete evacuation & if laparotomy is decided, then complete the evacuation either through the rent or anterior hysterotomy, if preservation of uterus is necessary.
- Laparotomy is often needed to tackle the perforation. It also gives an opportunity to inspect intestine or omentum for evidence of injury
- If perforation has occurred prior to complete evacuation & family is completed, then hysterectomy can be done.