Can anesthetics be used during the Qing Dynasty?

Curettage, also known as curettage, is one of the common gynecological abortion surgeries. In addition to being harmful to women's bodies, it is also very painful. Generally, you need to pay attention to the method when performing curettage. It will be better if you choose the right method, and you can avoid some problems. It is a common type of surgery chosen by patients in normal times, but many people are afraid of pain and pay attention to whether they need anesthesia.

Do I need anesthesia during curettage?

Whether to use anesthesia during curettage depends mainly on the patient's own choice.

Curettage and dilation refers to a surgery to scrape the endometrium or uterine cavity contents. It is a common minor surgery in obstetrics and gynecology and a type of abortion surgery. Curettage can be performed under anesthesia, a so-called painless procedure, or as a normal operation.

The advantage of painless surgery is that the patient has no sensation and no pain. However, anesthesia also has disadvantages, such as anesthesia accidents and respiratory depression. In addition, during painless curettage surgery, the risk of uterine perforation may increase due to the patient's unconsciousness.

Therefore, if you are very sensitive to pain, you can be given anesthesia, and if you can tolerate it, you can choose normal surgery. Generally speaking, whether to use anesthesia during curettage depends on personal preference. If you are afraid of pain, it is recommended to use anesthesia. If you are not sensitive to pain, it is not necessary. Therefore, whether to use anesthesia during curettage depends mainly on the patient's own choice.

Is it better to use anesthesia or not to use it during curettage?

It is better to use anesthesia during curettage.

One of the significant effects of anesthetics is pain relief. Secondly, the doctor cannot see what is inside during the curettage operation. He or she can only perform the operation based on clinical experience to judge whether the operation is thorough. If the operation is shallow, bleeding may occur due to incomplete scraping, which may result in a second curettage. If the scraping is too deep, it will inevitably cause trauma to the endometrium due to excessive scraping and damage the function of the uterus.

A single curettage, especially multiple curettages, can lead to uterine cavity adhesion and cervical adhesion, which can cause infertility. The endometrium is the implantation layer of the fertilized egg, and the result of curettage is the destruction of this functional layer. Repeated curettage will lose the loose soil suitable for seed growth, making it more difficult to get pregnant.

If anesthesia is used, the patient will not be so excited, and the doctor will feel the depth of the curettage more carefully. The depth of the uterine cleaning will be more reasonable and will not damage the endometrium, but it will be painful. Therefore, it is better to use anesthesia during curettage.

What happens if the curettage is not done cleanly?

Heavy bleeding after curettage

Vaginal bleeding After the placenta is separated during painless abortion, there may be a small amount of bleeding on the wound left on the uterine wall. This is a normal reaction after painless abortion. In this case, as the uterus contracts and the wound repairs, vaginal bleeding usually stops slowly in 3-5 days and does not exceed 1-15 days.

However, if the amount of vaginal bleeding exceeds the amount of menstrual blood and lasts too long, you need to seek medical treatment in time. The symptoms of curettage without dry flow are usually lower abdominal pain and continuous vaginal bleeding. The bleeding time after medical abortion is 1-3 weeks, and the amount of bleeding gradually decreases.

If the bleeding decreases and then increases again, or does not decrease at all, or gradually increases, these are symptoms of incomplete curettage. The residual tissue in the body was not scraped cleanly, causing heavy bleeding. The residual fetal membrane tissue will also affect the implantation of the fertilized egg in the future, leading to infertility.

Treatment: If vaginal bleeding lasts for more than one week after curettage, and is accompanied by lower abdominal pain, fever, turbid and foul-smelling leucorrhea, you should go to the hospital for examination and treatment in time.

Inflammation

Residual tissue in the body cannot be discharged and may cause inflammatory infection and endometritis. Severe cases involving other organs may also cause salpingitis, pelvic inflammatory disease, etc., and even affect future fertility.

Treatment: Pay attention to the care of private parts after curettage, refrain from sexual intercourse within one month, and change underwear frequently.

Irregular menstruation

Curettage can stimulate the body's own hormone levels and cause menstrual irregularities. The biggest side effect of curettage is that it can easily lead to incomplete abortion, requiring another curettage operation, which can easily induce postoperative infection and lead to secondary infertility. Taking medicine without authorization or not receiving treatment may lead to even worse consequences.