Uterine Dilators
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 Hegar Sounds Uterine Dilator Set Surgical Instruments $16.90 Time Remaining: 5h 29m |
 Hegar Uterine Dilators Set of 8 Pcs $17.20 Time Remaining: 27d 16h 16m Buy It Now for only: $17.20 |
 Pratt Uterine Dilator Sets Curved $16.71 Time Remaining: 4d 15h 47m Buy It Now for only: $16.71 |
 One Piece Of Pratt Uterine Dilators Size 41 43 Straight $12.32 Time Remaining: 24d 9h 25m Buy It Now for only: $12.32 |
 Hegar Uterine Dilators 3 4mm Surgical Instruments Sale $7.49 Time Remaining: 6d 9h 49m Buy It Now for only: $7.49 |
 Hegar Uterine Dilators Eight Pieces Set Double Ended $21.12 Time Remaining: 29d 5h 9m Buy It Now for only: $21.12 |
 One Pieces Hegar Uterine Dilators 19 20 MM $19.36 Time Remaining: 1d 9h 11m Buy It Now for only: $19.36 |
 Hegar Uterine Dilator Set OB Gyn Surgical Instruments $19.45 Time Remaining: 5h 29m |
 One Piece Of Pratt Uterine Dilators Size 41 43 Curved $11.44 Time Remaining: 17d 5h 22m Buy It Now for only: $11.44 |
 One Piece Of Pratt Uterine Dilators Size 13 15 Straight $12.32 Time Remaining: 24d 9h 17m Buy It Now for only: $12.32 |
 One Piece Of Pratt Uterine Dilators Size 17 19 Straight $12.32 Time Remaining: 24d 9h 18m Buy It Now for only: $12.32 |
 One Piece Of Pratt Uterine Dilators Size 25 27 Straight $12.32 Time Remaining: 24d 9h 20m Buy It Now for only: $12.32 |
 One Piece Of Pratt Uterine Dilators Size 29 31 Straight $12.32 Time Remaining: 24d 9h 21m Buy It Now for only: $12.32 |
 Hegar Uterine Dilator Set OB Gyn Surgical Instruments $19.45 Time Remaining: 6h 29m |
 One Piece Of Pratt Uterine Dilators Size 33 35 Straight $12.32 Time Remaining: 24d 9h 23m Buy It Now for only: $12.32 |
 One Piece Of Pratt Uterine Dilators Size 37 39 Straight $12.32 Time Remaining: 24d 9h 24m Buy It Now for only: $12.32 |
 Hegar Uterine Dilators Set of 8pcsOBGYN Instruments $17.80 Time Remaining: 27d 8h 46m Buy It Now for only: $17.80 |
 One Piece Of Pratt Uterine Dilators Size 21 23 Straight $12.32 Time Remaining: 24d 9h 19m Buy It Now for only: $12.32 |
 Hegar Uterine Dilator Sounds Set Surgical Instruments $19.45 Time Remaining: 22d 10h 16m Buy It Now for only: $19.45 |
 BAKES UTERINE DILATOR 9 PCS OB GYN Gynecology Surgical $17.40 Time Remaining: 9h 21m |
 Pratt Uterine Dilators $40.00 Time Remaining: 6d 17h 46m Buy It Now for only: $40.00 |
 Pratt Uterine Dilator Sets Straight Set of 8 pieces $21.12 Time Remaining: 14d 2h 42m Buy It Now for only: $21.12 |
 Hegar Uterine Dilators 3 4 Gynecology $3.95 Time Remaining: 22d 21h 23m Buy It Now for only: $3.95 |
 HANK UTERINE DILATOR SET Gynecology Surgical Instrument $19.85 Time Remaining: 22d 9h 12m Buy It Now for only: $19.85 |
 Uterine Hegar dilators 5 6 Gynecology Instruments NEW $6.60 Time Remaining: 27d 8h 46m Buy It Now for only: $6.60 |
 Pratt Dilator Uterine Set of 8 Pieces Curved $22.00 Time Remaining: 12h 19m |
 Hegar Uterine Dilators 5 6mm Surgical Instruments Sale $7.49 Time Remaining: 6d 9h 51m Buy It Now for only: $7.49 |
 Hegar Uterine Dilators 7 8mm Surgical Instruments Sale $7.49 Time Remaining: 6d 9h 53m Buy It Now for only: $7.49 |
 PRATT UTERINE DILATOR SET OB Gynecology Surgical Instru $25.46 Time Remaining: 20d 1h 46m Buy It Now for only: $25.46 |
 PRATT UTERINE DILATOR SET OB Gynecology Surgical Instru $17.65 Time Remaining: 9d 17h 28m Buy It Now for only: $17.65 |
 Hegar Uterine Dilators Set of 8 Pcs single ended $24.64 Time Remaining: 29d 5h 49m Buy It Now for only: $24.64 |
 Hegar Uterine Dilators 8 Set Gyno Surgical Instruments $39.59 Time Remaining: 6d 9h 55m Buy It Now for only: $39.59 |
 Hegar Uterine Dilators Set of 14 Pcs single ended $42.00 Time Remaining: 1d 4h 13m |
 Pratt Uterine Dilator Sounds OB GYN Surgical Instrument $29.99 Time Remaining: 12d 7h 44m Buy It Now for only: $29.99 |
 Hegar Uterine Dilators 9 10mm Surgical Instruments Sale $7.49 Time Remaining: 6d 9h 57m Buy It Now for only: $7.49 |
 14 HEGAR UTERINE DILATOR SET OB GYN Surgical Instrument $34.45 Time Remaining: 27d 6h 14m Buy It Now for only: $34.45 |
 Hank Uterine Dilators 6 Set Gyno Surgical Instruments $42.80 Time Remaining: 6d 9h 41m Buy It Now for only: $42.80 |
 Uterine Hegar dilator 5 6 Double Ended Gynecology NEW $5.50 Time Remaining: 4d 7h 1m Buy It Now for only: $5.50 |
 Hegar Uterine Dilator Sounds Set Surgical Instruments $16.90 Time Remaining: 1d 5h 15m |
 EGAR UTERINE DILATORS set of 8 Pcs with case $14.50 Time Remaining: 6d 4h 24m Buy It Now for only: $14.50 |
 One Piece Of Pratt Uterine Dilators Size 17 19 $8.80 Time Remaining: 14d 2h 55m Buy It Now for only: $8.80 |
 One Piece Of Pratt Uterine Dilators Size 25 27 $6.15 Time Remaining: 26d 9h 49m Buy It Now for only: $6.15 |
 Uterine Hegar dilator Double Ended Surgical Gynecology $9.99 Time Remaining: 27d 14h 13m Buy It Now for only: $9.99 |
 HEGAR UTERINE DILATORS SET SURGICAL GYNO INSTRUMENT $36.90 Time Remaining: 27d 8h 46m Buy It Now for only: $36.90 |
 Hegar Uterine Dilator Sound Set Surgical Instruments $16.90 Time Remaining: 1d 5h 15m |
 3 Pcs Pratt Uterine Dilators Size 21 23 25 27 29 31 $13.20 Time Remaining: 21d 3h 6m Buy It Now for only: $13.20 |
 One Pc Hegar Uterine Dilator 9MM Single Ended $6.16 Time Remaining: 2d 6h 11m Buy It Now for only: $6.16 |
 Uterine Hegar dilator 9 10 Double Ended Gynecology NEW $5.50 Time Remaining: 4d 7h 5m Buy It Now for only: $5.50 |
 Uterine Hegar dilator 7 8 Double Ended Gynecology NEW $6.95 Time Remaining: 4d 7h 3m Buy It Now for only: $6.95 |
 Uterine Hegar dilators 17 18 Gynecology Instruments NEW $6.90 Time Remaining: 24d 15h 38m Buy It Now for only: $6.90 |
 Hegar Uterine Dilator Set OF 8 OB Gyn Surgical D ENDED $19.45 Time Remaining: 1d 10h 27m |
 HEGAR UTERINE DILATORS SURGICAL GYNO MEDICAL INSTRUMENT $32.50 Time Remaining: 18d 7h 24m Buy It Now for only: $32.50 |
 Dilators Uterine Hegar Set of 8 double ended $24.95 Time Remaining: 9h 14m Buy It Now for only: $24.95 |
 One Piece Of Pratt Uterine Dilators Size 29 31 $6.15 Time Remaining: 26d 9h 51m Buy It Now for only: $6.15 |
 One Piece Of Pratt Uterine Dilators Size 33 35 $6.15 Time Remaining: 26d 9h 52m Buy It Now for only: $6.15 |
 One Piece Of Pratt Uterine Dilators Size 37 39 $6.15 Time Remaining: 26d 9h 53m Buy It Now for only: $6.15 |
 Hegar Uterine Dilators 3 4 Gynecology $4.40 Time Remaining: 20d 12h 2m Buy It Now for only: $4.40 |
 HEGAR UTERINE DILATORS SURGICAL GYNO MEDICAL INSTRUMENT $29.50 Time Remaining: 1d 14h 24m |
 Pratt Uterine Dilator set Medical Surgical Instruments set of 8 pcs Stainless $17.65 Time Remaining: 1h 6m Buy It Now for only: $17.65 |
 3 Sets Hegar Uterine Dilators Set of 8 Pcs $36.96 Time Remaining: 17d 11h 2m Buy It Now for only: $36.96 |
 Uterine Hegar dilators 13 14 Gynecology Instruments NEW $6.90 Time Remaining: 27d 8h 46m Buy It Now for only: $6.90 |
 Hegar Uterine Dilators 5 6 Gynecology $6.60 Time Remaining: 21d 15h 5m Buy It Now for only: $6.60 |
 Hegar Uterine Dilators 7 8 Gynecology $8.80 Time Remaining: 21d 15h 6m Buy It Now for only: $8.80 |
 Hegar Uterine Dilator Set OB Gyn buy1 get 1 free $24.99 Time Remaining: 1d 15h 11m |
 Hegar Uterine Dilators 11 12 Gynecology $7.92 Time Remaining: 21d 16h 3m Buy It Now for only: $7.92 |
 Hegar Uterine Dilators 13 14 Gynecology $8.80 Time Remaining: 21d 16h 5m Buy It Now for only: $8.80 |
 Hegar Uterine Dilators 17 18 Gynecology $7.92 Time Remaining: 21d 16h 7m Buy It Now for only: $7.92 |
 Hegar Uterine Dilators 15 16 Gynecology $8.80 Time Remaining: 21d 16h 9m Buy It Now for only: $8.80 |
 Hegar Uterine Dilator Sounds Single Ended set of 8 pcs $17.99 Time Remaining: 27d 7h 10m Buy It Now for only: $17.99 |
 Hegar Uterine Dilator Set OB Gyn Surgical D ENDED $18.35 Time Remaining: 1d 16h 26m |
 Hegar Uterine Dilators Set of 14 pcs Gynecology $41.36 Time Remaining: 22d 17h 7m Buy It Now for only: $41.36 |
 HEGAR UTERINE DILATORS SURGICAL GYNO MEDICAL INSTRUMENT $28.49 Time Remaining: 4d 18h 19m Buy It Now for only: $28.49 |
 Hegar Uterine Dilators 9 10 Gynecology $7.04 Time Remaining: 21d 15h 7m Buy It Now for only: $7.04 |
 Hegar Uterine Sounds Dilator Set Surgical Instruments $16.90 Time Remaining: 16d 3h 41m Buy It Now for only: $16.90 |
 5 Pieces Hegar Uterine Dilators 3 4mm $22.88 Time Remaining: 12d 8h 10m Buy It Now for only: $22.88 |
 HANK UTERINE DILATOR SET Gynecology Surgical Instrument $16.00 Time Remaining: 2d 9h 33m |
 One Piece Of Pratt Uterine Dilators Size 13 15 $7.04 Time Remaining: 26d 9h 37m Buy It Now for only: $7.04 |
 Double Ended Pratt Uterine Dilator 17 19 FR $12.99 Time Remaining: 4d 8h 44m Buy It Now for only: $12.99 |
 Double Ended Pratt Uterine Dilator 29 31 FR $12.99 Time Remaining: 4d 7h 17m Buy It Now for only: $12.99 |
 One Piece Of Pratt Uterine Dilators Size 21 23 $6.15 Time Remaining: 26d 9h 48m Buy It Now for only: $6.15 |
 2 Hegar Uterine Dilators Set of 8 Pcs $25.51 Time Remaining: 22d 16h 52m Buy It Now for only: $25.51 |
 Uterine Hegar dilator 11 12 Double Ended Gynecology NEW $5.50 Time Remaining: 4d 7h 7m Buy It Now for only: $5.50 |
 BAKES UTERINE DILATOR 9 PCS OB GYN Gynecology Surgical $17.40 Time Remaining: 2d 15h 41m |
 One Pc Hegar Uterine Dilator 11MM Single Ended $6.16 Time Remaining: 4d 19h 19m Buy It Now for only: $6.16 |
 One Pc Hegar Uterine Dilator 12MM Single Ended $6.16 Time Remaining: 4d 19h 20m Buy It Now for only: $6.16 |
 One Pc Hegar Uterine Dilator 13MM Single Ended $4.83 Time Remaining: 4d 19h 21m Buy It Now for only: $4.83 |
 One Pc Hegar Uterine Dilator 14MM Single Ended $6.60 Time Remaining: 4d 19h 22m Buy It Now for only: $6.60 |
 One Pc Hegar Uterine Dilator 15MM Single Ended $6.60 Time Remaining: 4d 19h 34m Buy It Now for only: $6.60 |
 Hegar Uterine Dilators Set of 8 Pcs $9.99 (1 Bid) Time Remaining: 2d 18h 55m |
 One Pc Hegar Uterine Dilator 16MM Single Ended $6.60 Time Remaining: 4d 19h 35m Buy It Now for only: $6.60 |
 One Pc Hegar Uterine Dilator 17MM Single Ended $7.92 Time Remaining: 4d 19h 36m Buy It Now for only: $7.92 |
 Double Ended Pratt Uterine Dilator 41 43 FR $12.99 Time Remaining: 4d 7h 13m Buy It Now for only: $12.99 |
 Double Ended Pratt Uterine Dilator 13 19 FR $12.99 Time Remaining: 4d 8h 44m Buy It Now for only: $12.99 |
 Hank Uterine Sounds SET OF 6 Dilators Surgical GYN $19.80 Time Remaining: 1d 17h 24m Buy It Now for only: $19.80 |
 Uterine Hegar dilator 17 18 Double Ended Gynecology NEW $4.99 Time Remaining: 4d 16h 50m |
 One Pc Hegar Uterine Dilator 7MM Single Ended $7.04 Time Remaining: 4d 9h 25m Buy It Now for only: $7.04 |
 One Pc Hegar Uterine Dilator 4MM Single Ended $7.04 Time Remaining: 4d 19h 11m Buy It Now for only: $7.04 |
 One Pc Hegar Uterine Dilator 5MM Single Ended $7.04 Time Remaining: 4d 19h 13m Buy It Now for only: $7.04 |
 One Pc Hegar Uterine Dilator 6MM Single Ended $7.04 Time Remaining: 4d 19h 14m Buy It Now for only: $7.04 |
 One Pc Hegar Uterine Dilator 10MM Single Ended $7.04 Time Remaining: 4d 19h 18m Buy It Now for only: $7.04 |
Uterine Dilators
Laminaria Use in Early Second Trimester Abortion (12.5 to 17 weeks)
Lamiinaria tents are made of the stems of the algae Laminaria digitate and Laminaria Japonica. Laminaria is seaweed that is mostly grown and cultivated in Korea, China, and Japan. It is written about in the Chinese literature that dates back over 1000 years. For the past 100 years Laminaria have been used in the U.S.. The standard stick is approximately 6 to 7 mm in length and 2 to 3 mm in diameter. The Laminaria sticks are individually packaged and sterilized using gamma-irradiation.
Laminaria use in Early Second Trimester Abortions (12.5 to 17 weeks) is associated with reduced maternal morbidity (complications to the mother) and mortality). Laminaria work by its hydroscopic (swelling) action by removing water from the cervix (lower womb). The Laminaria tent is associated with the synthesis and release of prostaglandins. This causes local changes to occur in the cervix that leads to the maturation (softening and dilation) of the cervix which allows for easier use of surgical dilators or shortens the induction (uterine contractions to delivery of gestational tissue) interval with the use of prostaglandins, and also reduces the amount of prostaglandins that are needed to terminate a pregnancy which in return reduces the side effects associated with the use of using prostaglandins.
Attempting to dilate the cervix with cervical dilators (serial enlarging rods) in patients in early second trimester abortions without cervical preparation or maturation (softening and opening of cervix) can lead to an increased incidence of cervical tears, cervical lacerations, damage to the cervical musculature, cervical incompetence where early miscarriages occur due to the cervix not able to hold a pregnancy, uterine (womb)perforation (hole in uterus), bowel injury, retained products of conception (pregnancy tissue remains in uterus), bleeding, or maternal death. The complication rate is reduced by 20 to 40% by using Laminaria. Laminaria tents are inserted into the patients cervix. Generally 1 to 6 are placed in patients that are in their early second trimester of pregnancy.
The Laminaria remain in the cervix from 3 to 24 hours. The earlier the length of pregnancy, the less time that is generally needed for the cervical maturation process to take place. Some patients remain in the office for the three or four hours before the surgical procedure is performed. Other patients are sent home to return the following day for the surgical procedure is to be performed. The opening and softening of the cervix can be so adequate, that serial dilators are not necessary to carry out the surgical procedure. It can be done with placement of a adequate size suction currette and when the procedure is performed under ultrasound guidance, it leads to minimal morbidity for the patient.
The complications that can occur with Laminaria tents include difficulty with removal of the tent, displacement of the tent into the vagina or the uterus, impactment (stuck inside) of the Laminaria in the cervix, breaking off of the tip ends. These complications are rare if the Laminaria are carefully placed straight inside the cervix. Other complications include cramps on insertion, and menstruation-like symptoms in approximately 8% of patients. There are a few reported cases of anaphylactic reactions after insertion, and infection. Laminaria are recommended for reduced incidence of trauma to the cervix, reduction in the time it takes to perform the surgical abortion procedure, reduction in blood loss, uterine perforation or cervical laceration when performing early second trimester abortion procedures.
About the Author
Orlando Women's Center Second, And Late Term Abortions Clinic. Dr. James S. Pendergraft opened the Orlando Women's Center in March 1996 to provide a full range of health care for women, including abortions, physical examinations, family planning, counseling, laboratory services and sexually transmitted disease screening and counseling. Orlando Women's Center Second, And Late Term Abortions Clinic.
PreOp® Patient Ed. Vaginal Dilation and Curettage with Hand Washing