Preoperative examination for curettage abortion

When performing surgery, physical examination is very important. There are many special surgical methods, and a comprehensive preoperative examination of the patient is required. This will prevent accidents during the operation, and the patient's physical condition will be known so that problems that arise during the operation can be resolved in time. What are the preoperative examinations for forceps curettage? The following is a detailed introduction.

Preoperative examination for curettage abortion:

In addition to the same as artificial abortion suction uterus surgery, the following points need to be done before the operation:

1. If conditions permit, patients should be hospitalized for surgery. Especially for those who are 13-14 weeks pregnant, or have other systemic diseases, or are in weak health. 11-12 weeks of pregnancy, the surgery must be performed by an experienced and skilled physician in an outpatient setting.

2. Those with bleeding diathesis, anemia or physical weakness should undergo blood type, blood clotting time and platelet tests.

3. The uterine dilator needs to be prepared around the 15th.

4. Preoperative cervical preparation (1) Cervical dilatation with a special rubber catheter: First, disinfect the cervix and endocervical canal as usual, then insert a sterilized No. 16 or No. 18 rubber catheter into more than 1/2 of the vaginal cavity. Wrap the catheter section remaining in the vagina with sterilized gauze and place it in the posterior fornix or vagina. After 24 hours, remove the rubber catheter before surgery. (2) Use prostaglandins to dilate the cervix.

Commonly used drugs

1) PGE, derivatives: 16,16-dimethyl-trans-A-PGE, methyl ester, namely ONO802 suppository, 1 mg per suppository, placed in the posterior fornix before abortion. After 3 hours, the cervical opening generally expands to 0.6-1.0cm (i.e., dilators No. 6-10 can pass through), and then adding 1mg can expand it to more than 1.2cm.

2) Domestic racemic 15-methyl PGF2ct suppository or sponge (containing 3-4 mg) is placed in the vagina for 3-4 hours, and the cervical opening can expand to about 0.6-1.Oem.

3) Misoprostol: 0.2 mg per tablet (PGE, similar drug), 0.4-0.6 mg orally 1-3 hours before surgery, or 2-3 tablets placed in the posterior fornix of the vagina 12 hours before surgery, which can soften and dilate the cervix to 0.6-1.Oem.

4) Racemic 15-methyl PGF2ct injection, 2 mg per vial, intramuscular injection, can dilate the cervix to 0.6-1.0 cm after 3 hours.

5) PGE2 derivative thiopromazine, each vial contains 0.5 mg, after dilution with 2 ml of normal saline, intramuscular injection 3-4 hours later, it can dilate the cervix by about 0.6-1.0 cm. Regardless of which prostaglandin preparation is used, if it is used 3-4 hours before artificial abortion, it will have the effect of softening and dilating the cervix. Note that patients with contraindications to prostaglandins should be excluded when using this drug.

After understanding the preoperative examination for curettage abortion, women should also pay attention to self-examination when undergoing curettage abortion, and should actively cooperate, so that there will not be too much impact on the body during the curettage abortion. Women should also pay attention to this.