Related Experiment Video
Updated: Jan 3, 2026
Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
Osmotic Dilator Intra-Abdominal Perforation: A Case Report
Rahana Harjee1, Reem Bahrani2, Michelle Chan1
1Department of Obstetrics & Gynaecology, University of British Columbia, Vancouver BC.
A retained hygroscopic osmotic dilator after pregnancy termination led to intra-abdominal complications. Surgical intervention was required for removal, highlighting the need for careful device management.
Area of Science:
- Gynecology
- Surgical Case Reports
Background:
- A hygroscopic osmotic dilator was used for second-trimester pregnancy termination.
- The dilator could not be retrieved and fractured during attempted removal.
Observation:
- Magnetic resonance imaging revealed cervical perforation and potential peritoneal traversal.
- The retained dilator was surrounded by significant inflammation and mesenteric adhesions.
Findings:
- This is the first reported case of an intra-abdominal osmotic dilator.
- Successful surgical removal of the retained dilator was achieved via hysteroscopy and laparoscopy.
Implications:
- Despite being inert, retained osmotic dilators necessitate close monitoring.
- Timely retrieval, potentially using hysteroscopy or laparoscopy, is crucial to prevent inflammatory complications.
More Related Videos
20:33A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
Published on: July 4, 2019
09:00Application of Straight-needle, Three-tailed, Knot-free, Peritoneal Sutures in Laparoscopic Transabdominal Preperitoneal Hernia Repair
Published on: November 12, 2021
Related Concept Videos
01:28Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:
01:22Esophageal Perforation-I: Introduction
The location of esophageal perforation can vary, occurring anywhere along the esophagus....