What is the process of palace cleaning?

A curettage is a surgery to scrape the uterus, but it is different from an abortion. It is because there are still residues in the uterine cavity after an abortion, and a second surgery is used to help repair the uterus and prevent infection. Generally, it can only be done within three months. If it exceeds three months, an induced abortion will be required, which will cause greater harm to the body, so it should be carefully considered.

A procedure to scrape the lining of the uterus or the contents of the uterus. This is a minor surgery commonly performed in obstetrics and gynecology and is one of the methods of artificial abortion. It is divided into two categories: diagnostic curettage (abbreviated as DCT) and therapeutic curettage. ① Diagnostic curettage is divided into general diagnostic curettage and segmented diagnostic curettage. General diagnostic curettage is suitable for endocrine abnormalities, which require understanding of endometrial changes and responses to sex hormones, the presence or absence of ovulation, the presence or absence of tuberculosis, etc.

Surgical Procedure

1. Body position: lithotomy position.

2. Rinse and disinfect the vulva and vagina routinely.

3. Use cervical clamp to fix the upper lip of the cervix during uterine exploration. Send the probe along the direction of the uterine body to the fundus of the uterus to understand the size of the uterus.

4. Dilate the cervix Use a cervical dilator to dilate the cervical canal until the intrauterine suction device can pass through it.

5. During uterine curettage, insert the uterine suction device into the uterine cavity without negative pressure. Then maintain negative pressure and perform repeated scraping and suction, being gentle throughout the entire process. If the suction tip is blocked by tissue during suction, the tissue should be quickly removed before continuing suction. If there are no conditions for suction uterus, curettage and dilatation can be performed.

When suctioning the uterus, pay special attention to the uterine corners and fundus on both sides. If you feel there is still tissue, scrape it with a curette. If you feel that the uterine wall has become rough and observe bloody foam in the suction bottle, and the uterus is significantly shrunk during examination, it means that the uterus has been emptied and the operation can be ended.

It is normal to have bleeding after a uterine curettage operation. It is fine as long as it does not last more than seven days. You must take various anti-inflammatory drugs after the operation, and intravenous drips if necessary. But you should follow the doctor's diagnosis, not eat at will, and pay attention to rest. It is best to stay in bed for about three days. Do not lift heavy objects, and wait until your body has fully recovered to go for a follow-up visit before you can work and live normally.