Gynecological curettage

Gynecological curettage is a form of artificial abortion. It is a method of removing the fetus by scraping off the endometrium and directly cleaning out the placenta, fetal membranes, etc. It is a method of uterine cleaning and can quickly achieve abortion, but it is relatively harmful to women's bodies, because abortion will affect women's secondary conception and affect the environment of the uterus. Therefore, after gynecological curettage, attention should be paid to postoperative care.

Curettage and dilation is one of the methods of artificial abortion, which is a surgery to scrape the endometrium or the contents of the uterine cavity.

Classification

General diagnostic curettage

General curettage is a type of diagnostic curettage, which is suitable for endocrine abnormalities that require understanding of endometrial changes and responses to sex hormones, the presence or absence of ovulation, the presence or absence of tuberculosis, etc.

Segmental curettage

Fractional curettage is a type of diagnostic curettage, which means that the cervical canal is first scraped and then the uterine cavity. The scrapings are sent for pathological examination separately. It is suitable for diagnosing cervical cancer, endometrial cancer and other uterine malignancies, and can understand the range of the cancer.

Suction scraping and forceps scraping

Suction curettage is the use of a negative pressure suction tube to suck out the contents of the uterine cavity, while forceps curettage is the use of an oval forceps to remove the contents of the uterine cavity, followed by curettage. Both are therapeutic curettage.

Indications for therapeutic curettage

The indications for therapeutic curettage include: those who want to terminate the pregnancy in early pregnancy, suction curettage within 3 months of pregnancy, forceps curettage to remove residual materials in the uterine cavity after 3 months and after induced abortion; those who need to empty the uterine cavity for incomplete abortion, inevitable abortion, missed abortion, retained placenta, hydatidiform mole, etc. Contraindications include acute genital tract and pelvic inflammation, trichomoniasis and candidal vaginitis, and patients with severe medical diseases who cannot tolerate surgery.

Precautions

Understand the indications and choose the appropriate time and procedure for different diseases. The doctor must be skilled in the technique to avoid various unnecessary complications, such as uterine perforation, heavy bleeding, incomplete curettage, postoperative uterine adhesions, infection, etc.

Postoperative Care

① After the abortion, you need to rest in the hospital for half an hour to one hour. You can leave the hospital only if you do not feel any special discomfort.

②Due to the pain stimulation during the operation, you may sweat a lot. Therefore, after the operation, you should pay attention to keeping warm, avoid wind and cold, prevent external infection, and avoid excessive use of air conditioning in midsummer.

③ Due to the trauma left on the endometrium after curettage, there will be vaginal bleeding within two weeks after the operation. Generally, the amount of blood is less than or similar to the menstrual amount, which is normal. If the bleeding has not stopped for more than two weeks or the amount of blood exceeds the menstrual volume, please go to the hospital immediately.

④ Abdominal pain occurs due to uterine contraction after the operation, which usually subsides in about half an hour to an hour. If you experience severe abdominal pain, vaginal bleeding with large blood clots, and high fever after a few hours or days, please go to the hospital immediately.

⑤ Keep the perineum clean and dry, and change sanitary napkins frequently. Clean the vulva with warm salt water every night and dry it with a clean and dry cotton towel. The towel can be reused after being disinfected with salt water and exposed to the sun to dry.