While doing suction & evacuation, there is perforation of uterus. Next step is: March 2012
Ans: C i.e. Laparotomy Complication of 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 oppounity 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.
Laparoscopy
Hysterotomy
Laparotomy
Hysterectomy