EXVISCERATION
In case of a neglected transverse presentation and IUFD when decapitation it is not technical possible an exvisceration is the option. The thorax or abdomen is perforated and all the internal organs are removed manually. The body collapses and an internal version can be done without the risk of rupturing the uterus. The version is followed by extraction on one or two feet.
Technique:
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The assistant keeps steady traction on the arm while the thorax is perforated |
One hand is inserted into the thorax cavity |
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All internal organs or removed from thorax…… |
….and abdomen |
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Locate and extract one or both feet |
Apply traction on the foot – or both feet |
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Extract the fetus……….. |
……….the usual way |
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Extract the head as usual with…. |
…………..one finger in the mouth |
