Endocervical curettage procedure steps

Before the fertilized egg enters the female uterus, it has to go through many checkpoints, among which the cervical canal in the female body is the first checkpoint that the fertilized egg will go through. The size and length of the cervical canal are different for every woman, which also affects the normal movement of the fertilized egg. Some women's cervix is ​​too small, which causes the fertilized egg to remain in the cervical canal and form an ectopic pregnancy. At this time, a cervical canal curettage surgery is needed. Today, let’s learn about the relevant steps of endocervical curettage surgery.

Ectopic pregnancy can be divided into fallopian tube pregnancy, abdominal pregnancy, ovarian pregnancy, cervical pregnancy, etc. according to the different sites of implantation of the fertilized egg. Among them, tubal pregnancy is the most common, accounting for more than 90% of ectopic pregnancies. The treatment method is generally determined by the site of implantation and rupture of the fertilized egg. Conservative surgery for tubal pregnancy, salpingectomy, and salpingo-oophorectomy are used. In recent years, tubal pregnancy surgery has been mostly performed under laparoscopy.

Endocervical curettage is suitable for pregnant women who are less than 12 weeks pregnant and have little bleeding and a relatively stable condition. If the examination shows that the embryo is relatively large and the patient is also experiencing active bleeding, he or she is not suitable for this operation. The following steps are required for cervical curettage: Preoperative preparation, prepare sufficient blood to prevent the patient from shock caused by excessive bleeding. Anesthesia and positioning: The patient is anesthetized in the position for bladder lithotomy. Surgical steps: 1. Disinfect the patient's vulva, vagina and cervix, 2. Suture the lower branch of the uterine artery next to the uterine cervix, 3. Scrape the cervical canal to remove the embryonic tissue. If the removal is difficult and accompanied by active bleeding, the scraping should be stopped immediately, and the cervical canal should be filled with iodine gauze. At the same time, MTX or 5-FU chemotherapy should be used. Chemotherapy can promote the degeneration of embryonic tissue, followed by necrosis and natural shedding. Therefore, scraping can be performed after chemotherapy, and only the necrotic tissue needs to be removed.

The above are the steps of cervical canal curettage. During the operation, you should also pay attention to the fact that the operation must be accurate and quick. Excessive scraping should not cause too much harm to the patient, and the amount of bleeding should be reduced as much as possible. After the operation, you must check the vaginal secretions and the recovery of the cervix in time, and have a follow-up examination at the time specified by the doctor.