Hysterosuction is one surgical intervention technique which falls within the scope of abortion, whether it is spontaneous abortion or IVG, i.e. voluntary termination of pregnancy. Hysterosuction consists of removing embryo and endometrium from the uterus by means of a special cannula. In Del Paese, hysterosuction is the most used intervention for voluntary termination of pregnancy, followed by curettage.
In this article
- Hysterosuction: what is it
- Hysterosuction: how it works
- Hysterosuction: contraception after abortion
Read also: After an abortion: curettage and hysterosuction
Hysterosuction: what is it
The most common technique to practice it is thehysterosuction, which consists in the use of a cannula (more or less the size of a pen) which once inserted into the uterus and connected to a vacuum pump sucks the embryo / fetus and the endometrium, the innermost layer of the mucosa uterine, the same that flakes off during the menstrual flow. A second method, now little practiced, is that of the so-called dilation and revision, where the dilation is carried out on the cervix with the help of a very thin forceps and the revision (also called curettage) coincides with the removal of the material.
Hysterosuction: how it works
If the abortion occurs after the eighth week if they combined scraping and hysterosuction; the smaller fragments are sucked out through hysterosuction, while the parts closest to the uterine walls are removed with the curettage.
The surgery consists in dilating the cervix (manually or by placing a vaginal ovum before the surgery, or in both ways); then continue aspirating the intrauterine content which will be sent for histological examination (not in the case of voluntary abortion). After the diagnosis, all the preoperative examinations will be performed, as well as the compilation of the medical record and informed consent with the gynecologist, only in some cases also with the anesthetist. The hospitalization will be daytime. A few hours after the end of the operation, the patient will be invited by the ward nurses to sit on the bed, then go down and go to the bathroom, if she does not feel sick or vomit she can start drinking and then eating (tea, rusks , jam), she will be discharged in the afternoon
Cramping abdominal pain of the menstrual type a little stronger during the period in which the expulsion of the fetus will take place. Paracetamol, paracetamol + codeine or keterolac can be given as pain relievers. Headache that can occur in 2-30% of cases. Nausea in 40-60% of cases and vomiting in 20% of cases. Diarrhea in 10-20% of cases, which however is transient. State of weakness in 10% of cases A feverish rise which, in any case, up to 38 ° C is considered normal. Pain and other symptoms subside after miscarriage and with the exception of pain for other symptoms, no treatment is normally needed. Blood loss can persist for an average of 8-9 days and sometimes in a reduced form for longer.
In rare cases it is possible that uterine bleeding at the moment of expulsion of the abortion product is such as to determine a picture of hypovolemic shock, which will be treated as usual with intensive measures to restore the circulation.
Hysterosuction: when you are at home
After being subjected to scraping and / or hysterosuction for a few weeks it will be necessary:
- Stop sexual intercourse so as not to irritate the cervix
- replace the bathroom with the shower to avoid the ascent of germs from the vagina to the uterus
- make bidets only with specific disinfectant medical devices.
Every woman should be advised that ovulation resumption after IVG can occur early, even before the next cycle appears.
Article sources: aulss Veneto region
- curettage after an abortion
- suffering abortion