(137) The physician then administers a numbing agent to the cervix, utilizes additional rods or tenaculum
to induce further dilation, and makes a series of passes with a cannula and curette to remove fetal tissue from the uterus.
An ET was considered as uncomplicated when the passage of the catheter through the cervical canal was performed without application of a tenaculum
and/or cervix dilation and/or usage of excessive force resulting in blood presence inside the outer sheath of the catheter.
The catheter was gently introduced, in difficult cases with the help of a tenaculum
, into the uterine cavity and the pellet was injected.
The ligament is exteriorized by passing a curved scalpel or a tenaculum
knife under the ligament from backward (Fig.
When the knob cannot be easily grasped, a carefully placed tenaculum
or ring forceps may be helpful to assist removal.
Sexual maturity in males was determined by its secondary sexual characteristics (Didier, 2004) such as, the emergence of the frontal tenaculum
, hardened pelvic claspers and denticles present on frontal tenaculum
, prepelvic tenacula and pelvic claspers.
First record of Hydrolagus melanophasma James, Ebert, Long & Didier, 2009 (Chondrichthyes, Chimaeriformes, Holocephali) from the southeastern Pacific Ocean/Primer registro de Hydrolagus melanophasma James, Ebert, Long & Didier, 2009 (Chondrichthyes, Chimaeriformes, Holocephali) en el Oceano Pacifico suroriental
Damage from a grasping volsellum or tenaculum
to the anterior lip or forcible expansion with Hegar dilators to the cervical canal can be reduced by pre-operative preparation.
This technique should likewise be employed with handling of the tonsil tenaculum
, because arcing from the electrocautery tip to the tenaculum
can occur and contribute to an unintentional oral burn.
A local anesthestic or paracervical block may be administered before placing the tenaculum
on the cervix.
Paracervical anesthesia is probably not necessary, and a little local anesthetic can be helpful before inserting the tenaculum
. A follow-up visit should be scheduled 1-3 months after insertion to check for partial or complete expulsion, Ms.
- A plastic disposable seizing device intended to replace the tenaculum
. The tenaculum
is a device widely used to pull the uterus cervix for diagnostics purposes and surgery.