The difference between hysteroscopic curettage and conventional curettage

Hysteroscopy is a relatively common surgical method in gynecology, and it is also one of the most advanced and visible surgical treatments currently available. Both are actually ways to complete abortion. In fact, compared with curettage, the harm of curettage is greater. Let us introduce their differences below.

Hysteroscopic curettage is a relatively good surgical treatment and the only visual surgical treatment so far. It does not require curettage, so it is definitely less harmful to the body than traditional abortion and will not be as unbearably painful as traditional curettage. But it is a surgery after all, so you should pay attention to diet adjustment after the operation, eat some liquid food first, and then you can eat normally the next day. It is advisable to eat more protein-rich foods such as lean meat and eggs, which are beneficial to wound healing. Avoid spicy food and irritating food. Female friends who like to drink a lot of coffee should note that it is not suitable to drink freshly ground coffee after surgery. Therefore, the harm of hysteroscopic curettage is less than that of blindly following the trend.

Hysteroscopy injuries:

1. Damage: It is mostly related to rough operation, which can cause cervical tear, uterine perforation, bilateral fallopian tube false passages, bilateral fallopian tube rupture, etc. 2. Bleeding: Hysteroscopic surgery will not cause severe bleeding. If there is excessive bleeding, the underlying cause should be treated. 3. Infection: rare, mostly due to a history of chronic pelvic inflammatory disease, the scope of application should be strictly controlled. 4. Complications of CO2 uterine distension: Prolonged operation time and excessive uterine cavity perfusion may cause CO2 gas embolism. The operation should be terminated immediately, oxygen should be given, and dexamethasone should be injected intravenously. 5. Cardiovascular and cerebrovascular syndrome: dilation of the cervix and expansion of the uterine cavity can cause increased sympathetic nerve support, which is similar to what occurs during curettage of abortion surgery.

Damage caused by curettage:

1. Cervical tear: It is more common in women who have not given birth, and usually occurs on both sides of the cervix. For such patients, the operation should be gentle. Small tear wounds can be blocked with iodine gauze to block the blood circulation; for large tear wounds, blood circulation should be sutured under observation. If the blood circulation through the vagina fails, it is necessary to open the abdomen to find the bleeding blood vessels and ligate the blood circulation. Occasionally, hysterectomy is required.

2. Uterine perforation: Pregnancy and tumors (such as hydatidiform mole) can make the endometrium more and more sensitive, which can easily lead to uterine perforation during curettage. For uterine perforation with less bleeding, conservative treatment such as anti-infection and blood circulation can be used; if the perforation is large and there is a high risk of internal bleeding, laparotomy is required to explore and activate blood circulation, repair the perforation wound, or perform hysterectomy.

3. Infection: Adequate preparation before surgery, strict aseptic operation principles, and protective antibiotic treatment after surgery can reduce the occurrence of infection.

4. Uterine cavity adhesion: If excessive scraping is done during uterine curettage, uterine cavity adhesion will occur, and its adverse effects include infertility, miscarriage, amenorrhea, dysmenorrhea, etc. Adhesions can be separated under hysteroscopy.