160 o

Surgicol Procedures lncluding Minimol Access Procedutes

Gynecologtc ond Obstetric Surgery

61

THERAPEUTIC ABORTION BY SUCTION CURETTAOE

Definition
The vacuum aspiration ofuterine contents usually per-

l$eciotNotes :I)ilatation and Curettage, p. 158. hracuation is done usin! ail available vacuum (in unit, better than ZB cm of mercury is recom-

formed to terminate early pregnancy.

Discussion

Procedure is also performed for missed and incomplete abortions.

lte surgeon connects a suction tip to the aspiration fting. The circulptor or scrub p"""or, trrlirrg "tt*t the suction unit and activates it on"J surl
request.

Agauze tissue bag is used inside the collection bottle

Procedure

ollect specimen. Send gauze tissue bag and contents

laboratory.
OF BARTHOLIN'S

This procedure is similar to dilatation and curettage until the cervix is dilated. An appropriate suction

curette is inserted through the dilated cervix into the uterine cavity. The controlled suction apparatus is ac' tivated. The curette is rotated 360" with a back-andforth motion while traction is maintained on the cervi:c The endometrial cavity is curetted with a sha4l curette, and a briefsuction curettage is repeated. Preporotion of the Potient, Skin Preporotion, ond Droping
See

incision a^nd drainage of a vulvovaginal cyst and suturing ofthe cyst wall to the edges ofthe incision.

Dilatation and Curettage, p.

157.

cyst wall is composed primarily of the duct of the by- not excising the cyst, the secretory function of gland may be preserved.
d;

Equipment

Stirrups

Controlled suction apparatus (e.g., Berkely Vacurette

Machine)

lnstrumentotion

Dilatation and curettage (D & C) tray Disposable vacuum,curettes (assorted sizes, curved
and straight) Aspiration tubing Supplies

vertical incision is made in the vaginal. mucosa over e center.of the cyst (outside the hymenal riirg). The is incised and drained. The lining of the "cyst is ;ed and sutured to the vaginal muc-osa with interstitches. If cystectomyls necessary, the cyst is
ed usrng sharp and blunt dissection. The intact is excised. The mucosa is approximai"a;-" L*i"

be inserted.

of the Potient

fll''ii?tl"u

T-binder or sanitary napkin belt

anesthesia, the patient is positionJd in a titiotmay be extended on armboards. Apply elecurgical dispersive pad.

rwing the administration of local, regional, or gen-

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