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Tzabari et al. Mini-invasive Surg 2018;2:9 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2018.11

Original Article Open Access

Towards safe and efficient cervical dilatation

Avinoam Tzabari , Amnon Weichselbaum , Michael Stark 1,4,5
1,2
3
1 New European Surgical Academy, Berlin 10117, Germany.
2 Yoseftal Medical Center, Eilat 88000, Israel.
3 NTG Technological Incubator, Nazareth 16001, Israel.
4 ELSAN Hospital Group, Paris 75008, France.
5 Charite University Hospital, Berlin 10117, Germany.

Correspondence to: Dr. Michael Stark, New European Surgical Academy, Unter den Linden 21, Berlin 10117, Germany.
E-mail: mstark@nesacademy.org

How to cite this article: Tzabari A, Weichselbaum A, Stark M. Towards safe and efficient cervical dilatation. Mini-invasive Surg
2018;2:9. https://doi.org/10.20517/2574-1225.2018.11

Received: 2 Mar 2018 First Decision: 3 Apr 2018 Revised: 12 Apr 2018 Accepted: 13 Apr 2018 Published: 27 Apr 2018
Science Editor: Simone Ferrero, Atef Darwish Copy Editor: Jun-Yao Li Production Editor: Huan-Liang Wu

Abstract
Aim: Traditional methods of cervical dilatation such as Hegar rods and laminaria are associated with the damage leading
to the risk of cervical incompetence or require two sessions with higher risk of infections. In this study, a new dilator
based on expanding triple balloons is assessed.

Methods: Cervical dilation with the triple balloon was evaluated in 15 women with various indications. After measuring
the diameter of the cervix the triple balloon was inserted and inflated for 5-7 min and thereafter measured again.

Results: This time was sufficient to achieve the diameter of 4.5-9.5 mm which allowed performing all planned
procedures without any need for further dilatation except for one case with cervical stenosis.

Conclusion: Further studies are needed, but the triple dilating balloon might become the optimal dilatation method for
universal use.

Keywords: Cervical dilatation, hysteroscopy, abortion

INTRODUCTION
The Muellerian ducts are being formed from the paramesonephric cells and are creating the uterine body
and the cervix. The endometrium has its unique, hormonally dependent cyclic pattern and the cervical
[1]
mucous layer shows different cyclic characteristics . Despite the common origin of the different elements of
© The Author(s) 2018. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use,
sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long
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and indicate if changes were made.

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