Chapter 242 Dilation and Curettage DESCRIPTION Dilation and curettage (D&C) is dilation of the uterine cervix with the removal (by scraping) of a portion of the uterine lining or uterine contents. (The same term may be applied to any setting in which a cavity is curetted after gaining entrance through dilation, such as endocervical curettage of a cervical stump.) The procedure may be combined with other diagnostic procedures such as hysteroscopy. INDICATIONS Dilation and curettage may be performed for either diagnostic or therapeutic indications. This can range from the control of acute bleeding or an incomplete abortion to the temporary treatment of dysfunctional bleeding. Hysteroscopy and sonohysterography have displaced dilation and curettage as a diagnostic modality in many cases. CONTRAINDICATIONS Patients who are medically unstable, viable (desired) pregnancy, active pelvic inflammatory disease, blood dyscrasia. REQUIRED EQUIPMENT • Sterile gloves • Skin preparation materials (generally an iodine-based antibacterial solution such as Betadine) • Vaginal speculum or weighted vaginal speculum with Deaver or similar retractors • Single tooth tenaculum • Graduated cervical dilators (Hegar, Pratt, Rocket, Heaney, Hank, or similar; Goodell dilators are generally not preferred because of an increased risk of cervical laceration) • Blunt uterine sound (optional) • Uterine curettes (sharp preferred) in a selection of sizes • Small stone forceps (Randall or similar) • Polyethylene terephthalate-covered dressing (Telfa or similar) (optional) • Suitable tissue preservation/transportation medium (10% formalin solution or similar) For Pregnancy-Related Procedures • Graduated suction curettes • Suction curettage pump, tubing, and tissue collection device Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: Anemia Toxic Shock Syndrome Uterine Anomalies: Bicornuate, Septate, and Unicornuate Uterus Cervical Cancer Stay updated, free articles. Join our Telegram channel Join Tags: Netters Obstetrics and Gynecology Jun 6, 2016 | Posted by admin in GYNECOLOGY | Comments Off on Dilation and Curettage Full access? Get Clinical Tree
Chapter 242 Dilation and Curettage DESCRIPTION Dilation and curettage (D&C) is dilation of the uterine cervix with the removal (by scraping) of a portion of the uterine lining or uterine contents. (The same term may be applied to any setting in which a cavity is curetted after gaining entrance through dilation, such as endocervical curettage of a cervical stump.) The procedure may be combined with other diagnostic procedures such as hysteroscopy. INDICATIONS Dilation and curettage may be performed for either diagnostic or therapeutic indications. This can range from the control of acute bleeding or an incomplete abortion to the temporary treatment of dysfunctional bleeding. Hysteroscopy and sonohysterography have displaced dilation and curettage as a diagnostic modality in many cases. CONTRAINDICATIONS Patients who are medically unstable, viable (desired) pregnancy, active pelvic inflammatory disease, blood dyscrasia. REQUIRED EQUIPMENT • Sterile gloves • Skin preparation materials (generally an iodine-based antibacterial solution such as Betadine) • Vaginal speculum or weighted vaginal speculum with Deaver or similar retractors • Single tooth tenaculum • Graduated cervical dilators (Hegar, Pratt, Rocket, Heaney, Hank, or similar; Goodell dilators are generally not preferred because of an increased risk of cervical laceration) • Blunt uterine sound (optional) • Uterine curettes (sharp preferred) in a selection of sizes • Small stone forceps (Randall or similar) • Polyethylene terephthalate-covered dressing (Telfa or similar) (optional) • Suitable tissue preservation/transportation medium (10% formalin solution or similar) For Pregnancy-Related Procedures • Graduated suction curettes • Suction curettage pump, tubing, and tissue collection device Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: Anemia Toxic Shock Syndrome Uterine Anomalies: Bicornuate, Septate, and Unicornuate Uterus Cervical Cancer Stay updated, free articles. Join our Telegram channel Join Tags: Netters Obstetrics and Gynecology Jun 6, 2016 | Posted by admin in GYNECOLOGY | Comments Off on Dilation and Curettage Full access? Get Clinical Tree
