What is curettage surgery?

Young people are more impulsive, and every year there are long queues of women going to hospitals for abortions. Because some young couples have sex without taking any protective measures, the woman may end up getting pregnant unexpectedly. In this case, women who do not plan to have children often choose to have an artificial abortion, in which case a curettage surgery is needed to scrape out the contents of the uterine cavity. In addition, the diagnosis of some gynecological diseases also requires curettage.

I. Definition

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 according to its scope of application. ②Therapeutic curettage can be divided into suction curettage and forceps curettage.

2. Classification

1. General diagnostic curettage

General curettage is a type of diagnostic curettage, which is suitable for endocrine abnormalities that require understanding of endometrial changes and responses to sex hormones, the presence or absence of ovulation, the presence or absence of tuberculosis, etc.

2. Segmental curettage

Fractional curettage is a type of diagnostic curettage, which means that the cervical canal is first scraped and then the uterine cavity. The scrapings are sent for pathological examination separately. It is suitable for diagnosing cervical cancer, endometrial cancer and other uterine malignancies, and can understand the range of the cancer.

3. Suction scraping and forceps scraping

Suction curettage is the use of a negative pressure suction tube to suck out the contents of the uterine cavity, while forceps curettage is the use of an oval forceps to remove the contents of the uterine cavity, followed by curettage. Both are therapeutic curettage.

3. Indications for therapeutic curettage

The indications for therapeutic curettage include: those who want to terminate the pregnancy in early pregnancy, suction curettage within 3 months of pregnancy, forceps curettage to remove residual materials in the uterine cavity after 3 months and after induced abortion; those who need to empty the uterine cavity for incomplete abortion, inevitable abortion, missed abortion, retained placenta, hydatidiform mole, etc. Contraindications include acute genital tract and pelvic inflammation, trichomoniasis and candidal vaginitis, and patients with severe medical diseases who cannot tolerate surgery.

IV. Postoperative Care

1. After the abortion, you need to rest in the hospital for half an hour to one hour. You can leave the hospital only if you do not feel any special discomfort.

2. Due to the pain stimulation during the operation, you may sweat a lot. Therefore, after the operation, you should pay attention to keeping warm, avoid wind and cold, prevent external infection, and avoid excessive use of air conditioning in midsummer.

3. Due to the trauma left on the endometrium after curettage, there will be vaginal bleeding within two weeks after the operation. Generally, the amount of blood is less than or similar to the menstrual amount, which is normal. If the bleeding has not stopped for more than two weeks or the amount of blood exceeds the menstrual volume, please go to the hospital immediately.

4. Abdominal pain occurs due to uterine contraction after the operation, which usually subsides in about half an hour to an hour. If you experience severe abdominal pain, vaginal bleeding with large blood clots, and high fever after a few hours or days, please go to the hospital immediately.

5. Keep the perineum clean and dry, and change sanitary napkins frequently. Clean the vulva with warm salt water every night and dry it with a clean and dry cotton towel. The towel can be reused after being disinfected with salt water and exposed to the sun to dry.