What is cervical dilation?

People must be familiar with the uterus, because it is one of the most important organs in the female body, and it directly affects the continuation of the family line. However, in life, there are some women who do not seem to pay much attention to their uterus. They always do things without considering the health of their uterus, and as a result, they end up suffering from uterine diseases. So the question is, what does cervical dilation mean medically?

Cervical dilation and curettage, also known as dilatation and curettage, is a commonly used operation in obstetrics and gynecology. Depending on clinical needs, cervical dilation and curettage can be a diagnostic procedure or a therapeutic procedure, and each has its own indications and contraindications. They can be performed separately or simultaneously.

Anesthesia and preoperative preparation

1. Anesthesia method

General anesthesia or no anesthesia required.

2. Preoperative Preparation

Before the operation, in addition to a detailed inquiry into the medical history, past medical history and gynecological examination, some necessary auxiliary examinations should be performed according to the different purposes of cervical dilation and curettage.

Indications

1. Endometrial lesions.

2. Diagnosis and treatment of infertility.

3. Early diagnosis of endometrial cancer.

4. Miscarriage.

Contraindications

Acute vulvovaginitis, acute endometritis, acute adnexitis, acute pelvic inflammatory disease, sexually transmitted diseases.

Surgical procedures

1. Cervical dilation surgery steps

(1) Take the lithotomy position, catheterize, disinfect, and lay a drape.

(2) Bimanual examination.

(3) Expose the cervix.

(4) Detect and record the inclination, curvature and depth of the uterine cavity.

(5) Cervical dilation.

2. Curettage steps

(1) The steps of body positioning, bimanual examination and exploration of the uterine cavity are the same as those of cervical dilation.

(2) Use a uterine curette to scrape the endometrium or contents.

Postoperative complications

1. Cervical laceration.

2. Perforation.

3. Bleeding.

4. Infection.

5. Misdiagnosis or missed diagnosis.

6. Adhesions between the cervix and uterine cavity.

7. Endometriosis and adenomyosis.

8. Incompetent cervix.

Postoperative Care

1. Rest in bed for 1 to 2 hours, observe the amount of bleeding and whether there is any abnormal abdominal pain. If there is no abnormality, you can get up and move around.

2. If the body temperature rises or the white blood cell count increases after the operation, the cause should be identified and treated.

3. Inject uterotonics if necessary.

4. After the operation, you should pay attention to keeping warm, avoid wind and cold, prevent external infection, and avoid using air conditioning too much in midsummer.