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Related Experiment Video

Updated: Jul 17, 2026

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Published on: November 8, 2024

Septic shock after intracervical laminaria insertion.

Shin-Yu Lin¹, Wen-Fang Cheng, Yi-Ning Su

¹Department of Obstetrics and Gynecology, National Taiwan University Hospital, Taipei, Taiwan.

Taiwanese Journal of Obstetrics & Gynecology

|February 3, 2007

Summary

Laminaria placement during abortion, though rarely suspected, can lead to serious infection (sepsis). Prompt antibiotic treatment is crucial for managing this risk in patients undergoing cervical dilatation.

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Last Updated: Jul 17, 2026

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Published on: November 8, 2024

Area of Science:

Reproductive Medicine
Infectious Diseases
Gynecology

Background:

Laminaria use for cervical dilatation in artificial abortion is common.
Postabortal sepsis is a known complication, but its association with laminaria is infrequently recognized.

Observation:

A case of severe sepsis (Enterobacter cloacae) occurred in a nulliparous woman post-artificial abortion with laminaria placement.
The patient presented with fever, hypotension, and signs of infection.

Findings:

Blood, placenta, and arterial line cultures confirmed Enterobacter cloacae infection.
The patient recovered with broad-spectrum antibiotics and supportive care.

Implications:

Laminaria placement poses an infection risk due to potential ascending colonization from vaginal/cervical microflora.
Preventive measures include surgical disinfection, prophylactic antibiotics, and minimizing laminaria duration.
Early recognition and aggressive management of suspected infections are vital.