Lamiinaria tents are the stems of the seaweed Laminaria japonica and Laminaria digitate made. Laminaria algae is that mostly grown and cultivated in Korea, China and Japan. It is written in Chinese literature from over 1000 years. were used for the last 100 years Laminaria in the United States. The stick is about 6-7 mm long and 2-3 mm in diameter. The Laminaria sticks are individually packaged and sterilized by gamma irradiation.
early use of laminaria abortion in the second quarter (12.5 to 17 weeks) is the mother associated with reduced maternal morbidity (complications) and mortality). Laminaria his work hygroscopic (swelling) of the shares by removing water from the cervix (lower abdomen). Laminaria tent is associated with the synthesis and release of prostaglandins. This leads to local changes in the neck that leads to ripening (softening and dilation) of the cervix, the use of dilators or reduced surgical induction (uterine contractions in the supply facilitates pregnancy diabetes tissue) interval with the use of prostaglandins, and also reduces the amount of prostaglandins that are necessary to ensure a pregnancy, which in turn reduces the side effects with the use of use of prostaglandins are associated end.
The attempt of the cervix with dilators of the cervix (extension rods series) in patients in the early second trimester expand abortion, without preparation or cervical ripening (softening and opening of the cervix) may be an increased incidence of cervical lacerations, lacerations cervical cancer, damage to the neck muscles, cervical incompetence, where abortions are early cervical cancer can not keep a pregnancy, uterus (womb), perforation (hole in the womb) and bowel injury retained products of conception (pregnancy tissue remains in the womb), bleeding or maternal mortality. The complication rate is reduced by 20-40% by means of Laminaria. Laminaria are inserted into the cervix patients. 1-6 are generally in patients who are placed in their second trimester of pregnancy.
The Laminaria in the neck 3-24 hours stay. The previous duration of the pregnancy, less time than it normally take place is essential for the process of cervical ripening. Some patients remain in office for three or four hours before the operation is performed. Other patients will be coming home the next day for surgery should be performed sent. The opening and softening of the cervix may be sufficient that serial dilators are not required to complete the surgery. It is currette up with the placement of a suction can be done enough and if the procedure performed under ultrasound guidance, it leads to minimal patient morbidity.
The complications that can occur with Laminaria, are difficulties with the removal of the tent, move out of the tent into the vagina or uterus, impactment (stuck inside) of Laminaria in the neck and broke the tip ends. These complications are rare, if the laminaria are carefully placed directly into the neck. Other complications include cramps, paste, and the symptoms of menstruation, such as about 8% of patients. There are few reported cases of anaphylaxis after insertion, and infection. Laminaria are recommended to the trauma to the neck to reduce the impact, so the time required for surgical abortion, reduced blood loss, uterine perforation, cervical laceration or during the implementation of the early implementation in the second quarter of abortion procedures.
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