uterine curettage


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Related to uterine curettage: D&C, Abnormal uterine bleeding

uterine curettage

Scraping to remove the contents of the lining of the uterus. This procedure is used to evacuate the uterus following inevitable or incomplete abortion, to produce abortion, to obtain specimens for use in diagnosis, and to remove growths, such as polyps.

Patient care

Preoperative: The health care provider explains and clarifies the procedure, answers any questions, and describes expected sensations. Physical preparation of the patient is completed according to protocol, and the patient is placed in the lithotomy position. Asepsis is maintained throughout the procedure.

Postoperative: Vital signs are monitored until they are stable, and the patient is monitored until she is able to tolerate liquids by mouth and to urinate without difficulty. A perineal pad count is performed to determine the extent of uterine bleeding, and excessive bleeding is documented and reported to the health care provider. Prescribed analgesics are administered to relieve pain and discomfort. Before discharge, the patient is instructed to report profuse bleeding immediately; to report any bleeding lasting longer than 10 days; to avoid use of tampons, diaphragms, and douches; and to report severe pain and signs of infection such as fever or foul-smelling vaginal discharge. Gradual resumption of usual activities is encouraged as long as they do not result in vaginal bleeding. The woman is counseled to avoid the use of tampons or douches and to abstain from intercourse for 2 weeks or until after the follow-up examination.

See also: curettage
References in periodicals archive ?
Uterine curettage is useful for planning treatment and unnecessary hysterectomies can be avoided.
One might argue that the presence of multiple risk factors (previous scar, previous uterine curettage and placenta accreta) in our patient made this uterus prone to uterine rupture, nevertheless the site of rupture was not previous scar and the patient was not in labour.
The most valid explanation of this would be the history of previous uterine curettage for missed miscarriage.
Haemodynamic changes and visual analogue scale scores were recorded during the preoperative period when the cervix was grasped with a tenaculum immediately after intrauterine instillation during uterine curettage and at postoperative 10 min.
It involves either of the following procedures: leaving the placenta in place with packing; a piecemeal blunt dissection with packing; uterine curettage with packing; closing of the uterine defect; localized excision and uterine repair; uterine packing with uterine or even hypogastric artery ligation; bilateral uterine artery embolization and pelvic artery ligation.
7 Another case was reported in Japan, in 1991 where a 25 year old lady, with previous history of uterine curettage had pulmonary edema and shock due to contrast extravasation.
Diagnosis: Acquired uterine Arterio-venous malformation is a rare but potentially life threatening condition and as such must be considered in the differential diagnosis of cases of abruption, profuse vaginal bleeding following uterine curettage.
The study group underwent uterine curettage after vaginal/caesarean delivery.