ArticleHCA healthcare journal of medicine2025
A New Application for Bolt Cutters in Urogynecology: Challenging Removal of an Impacted Pessary.
Article in HCA healthcare journal of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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3 authors.
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Abstract
Background: Pessaries are commonly used to treat pelvic organ prolapse. While these devices generally pose negligible risk, serious morbidity can be associated with neglected use. Case Presentation: A 91-year-old woman began to experience acute pain related to an impacted pessary. An Exam in the operating room under anesthesia revealed that the pessary was deeply embedded within the vaginal canal and was noted to have a hard metal wire under a rubber exterior. An intraoperative orthopedic consult was obtained to facilitate discussion and selection of tools outside the typical gynecological scope to remove the pessary. A combination of bolt cutters and rongeur forceps were used to successfully remove the pessary. Conclusion: Consideration of instruments outside traditional gynecology including bolt cutters may be considered when faced with a difficult removal of foreign bodies embedded in gynecological tissues.
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