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The purpose of this pilot project was to test the feasibility of a technique designed to place a copper intrauterine device (IUD) through the hysterotomy incision of an elective cesarean delivery to minimize possible contamination and to guarantee that tailstrings were visible in the vagina for easy removal should complications occur.
However, when considering the invasive nature and increased incidence of complications, we believe that the strategy of dividing the surgery into two smaller, staged posterior procedures is a safer option and reduces the need for additional corrective surgery should complications occur.
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Further studies are, however, needed to determine whether our observations have been biased by a reluctance of immigrants to seek medical attention should any complications occur.
However, data on health resource use will be collected partly as efficacy outcome measures (i.e. less need for medical care for pelvic pain indicates greater efficacy), and partly to allow an economic evaluation to be carried out, should significant complications occur.
The metabolic and bariatric surgery organization recommends establishing a relationship with a local gastroenterologist able to remove the balloon endoscopically should a complication occur.
The CTO had a defined patient catchment area increasing the likelihood for the return of the patients to the hospital, should a complication occur, thus enabling an accurate recording of postoperative events.
Patients deemed to be good surgical risks should be offered surgical correction before complications occur because emergent surgery in the setting of incarceration has a high mortality.
When no complications occur, the illness lasts 10 days.
However, severe complications occur more commonly in the therapeutic group.
Infectious complications occur in 2 15%.
Delayed complications occur after candidemia.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com