The difference between hysteroscopic curettage and conventional curettage

The difference between hysteroscopic curettage and conventional curettage

Hysteroscopy is a relatively common surgical method in gynecology, and it is also one of the most advanced and visible surgical treatments currently available. Both are actually ways to complete abortion. In fact, compared with curettage, the harm of curettage is greater. Let us introduce their differences below.

Hysteroscopic curettage is a relatively good surgical treatment and the only visual surgical treatment so far. It does not require curettage, so it is definitely less harmful to the body than traditional abortion and will not be as unbearably painful as traditional curettage. But it is a surgery after all, so you should pay attention to diet adjustment after the operation, eat some liquid food first, and then you can eat normally the next day. It is advisable to eat more protein-rich foods such as lean meat and eggs, which are beneficial to wound healing. Avoid spicy food and irritating food. Female friends who like to drink a lot of coffee should note that it is not suitable to drink freshly ground coffee after surgery. Therefore, the harm of hysteroscopic curettage is less than that of blindly following the trend.

Hysteroscopy injuries:

1. Damage: It is mostly related to rough operation, which can cause cervical tear, uterine perforation, bilateral fallopian tube false passages, bilateral fallopian tube rupture, etc. 2. Bleeding: Hysteroscopic surgery will not cause severe bleeding. If there is excessive bleeding, the underlying cause should be treated. 3. Infection: rare, mostly due to a history of chronic pelvic inflammatory disease, the scope of application should be strictly controlled. 4. Complications of CO2 uterine distension: Prolonged operation time and excessive uterine cavity perfusion may cause CO2 gas embolism. The operation should be terminated immediately, oxygen should be given, and dexamethasone should be injected intravenously. 5. Cardiovascular and cerebrovascular syndrome: dilation of the cervix and expansion of the uterine cavity can cause increased sympathetic nerve support, which is similar to what occurs during curettage of abortion surgery.

Damage caused by curettage:

1. Cervical tear: It is more common in women who have not given birth, and usually occurs on both sides of the cervix. For such patients, the operation should be gentle. Small tear wounds can be blocked with iodine gauze to block the blood circulation; for large tear wounds, blood circulation should be sutured under observation. If the blood circulation through the vagina fails, it is necessary to open the abdomen to find the bleeding blood vessels and ligate the blood circulation. Occasionally, hysterectomy is required.

2. Uterine perforation: Pregnancy and tumors (such as hydatidiform mole) can make the endometrium more and more sensitive, which can easily lead to uterine perforation during curettage. For uterine perforation with less bleeding, conservative treatment such as anti-infection and blood circulation can be used; if the perforation is large and there is a high risk of internal bleeding, laparotomy is required to explore and activate blood circulation, repair the perforation wound, or perform hysterectomy.

3. Infection: Adequate preparation before surgery, strict aseptic operation principles, and protective antibiotic treatment after surgery can reduce the occurrence of infection.

4. Uterine cavity adhesion: If excessive scraping is done during uterine curettage, uterine cavity adhesion will occur, and its adverse effects include infertility, miscarriage, amenorrhea, dysmenorrhea, etc. Adhesions can be separated under hysteroscopy.

<<:  What causes high white blood cell count in women?

>>:  Is hysteroscopic balloon removal painful?

Recommend

[Medical Q&A] Can ventilators only be used for critically ill patients?

Planner: Chinese Medical Association Reviewer: Zh...

Can pregnant women eat pressed duck?

For people with fragile constitutions such as pre...

China UnionPay: 2018 Mobile Payment Security Survey and Analysis Report

China UnionPay released the "2018 Mobile Int...

What is the treatment for suppurative mastitis?

Most cases of mastitis occur in women, especially...

Is it a boy or a girl if the pregnant woman's belly button is protruding

Pregnancy is a happy thing. After pregnancy, not ...

What is the standard for biparietal diameter at 39 weeks of pregnancy?

That big moment in life is coming. After ten mont...

On which day after menstruation is it easiest to get pregnant?

If a woman wants to get pregnant, she must calcul...

What to do if you have kidney deficiency during pregnancy

Kidney deficiency is a symptom that has a great i...

Can I still suffer from infertility after giving birth?

Having a child is a very important matter. Modern...

What medicine should I take for ovarian cysts? Is drug treatment effective?

Ovarian cyst is the most common gynecological dis...

There is still some bleeding 21 days after the abortion

After medical abortion, if there is still vaginal...

How to distinguish between pregnancy and stomach discomfort

Pregnant mothers may also encounter stomach disco...

Normal range of maternal blood sugar

When a woman is pregnant, she may develop pregnan...