Early termination of pregnancy in AVN Hip: A unique case

Abstract

Early termination of pregnancy (ETP) is a common procedure, with surgical intervention being the prevailing method. However, it carries inherent risks. This case report describes a 27-year-old woman with a history of left hip surgery who sought pregnancy termination. Due to her limited hip abduction, positioning her for surgery posed challenges. The patient underwent dilatation and curettage after cervical preparation with misoprostol and vaginal chlorhexidine solution. The procedure was modified to accommodate her hip limitations, using a straight table without conventional leg holders or stirrups. Successful pregnancy elimination was confirmed, and the patient remained uneventful during follow-up. This case report highlights the need for alternative approaches for ETP in patients with hip ailments. The modified procedure offers advantages such as simplicity, reduced equipment requirements, easy post-anesthesia positioning, and avoidance of common peroneal nerve palsy. Further research is warranted to validate these findings and extend them to a broader patient population, potentially improving safety and effectiveness in surgical interventions for this specific group.