In most cases, curettage cervical canal prescribed to those patients during whose treatment, conservative treatment did not give the desired results. Curettage of the cervical canal is used in the presence of the following symptoms:
Diagnostic curettage of the cervical canal is also necessary in the following cases:
Curettage of the cervical canal is an important component in the process of diagnosing the condition of the endometrium of the uterus. With this study it is possible to identify the following diseases female genital area:
Scraping is effective method diagnosing the causes of infertility. The main thing is to contact us in a timely manner qualified specialist and start treatment.
Curettage of the cervical canal is carried out not only for diagnostic purposes, but also for therapeutic purpose. The main indications for this procedure are the presence of polyps in the mucous membrane of the cervical canal. In addition, therapeutic curettage of the cervical canal is prescribed to those women who have been diagnosed with endometrial hyperplasia.
Before performing curettage, it is necessary to follow all the doctor’s recommendations, since proper preparation The accuracy of the results obtained and the absence of complications will largely depend on the procedure. In cases where curettage of the cervical canal is carried out on an emergency basis, no preliminary preparation is provided. In all other cases, when the procedure is carried out as planned, curettage is carried out shortly before the start of menstruation.
Women who are scheduled for hysteroscopy with the removal of polyps must undergo the operation exclusively immediately after menstruation. This is due to a decrease in the thickness of the endometrium, which is important for accurately determining the location of polyps.
Experts do not recommend routine curettage of the cervical canal in the middle of the cycle, because after similar procedure severe uterine bleeding may begin and serious complications. The main cause of bleeding in postoperative period- disturbances in the functioning of the ovaries caused by removal of the endometrium of the uterus significantly ahead of schedule the beginning of menstruation. To normalize all processes in a woman’s body after surgery, synchronization in the work of the ovaries and endometrium is necessary.
In addition, the patient is prescribed several basic tests before curettage:
Curettage of the cervical canal is carried out in a small operating room on a gynecological chair. Before the procedure, the anesthesiologist asks the patient about the presence or absence of allergies to certain types of medications.
Curettage is performed under intravenous anesthesia, the main difference from endotracheal anesthesia — short duration and quick awakening. In most cases, it takes the doctor 15-20 minutes to perform the operation.
After the patient falls asleep, the doctor inserts a speculum into the vagina (this is necessary to expose the cervix). Next, using special dilators, the surgeon dilates the cervix and inserts a special instrument for curettage of the cervical canal - a curette. Curettage is carried out slowly, and the resulting samples are placed in a separate container and sent for histological examination.
If curettage is carried out in conjunction with hysteroscopy, after dilating the cervical canal to the required size, the doctor inserts a hysteroscope. With its help, a thorough examination of the mucous membrane is carried out and the presence of polyps and/or areas of endometrial hyperplasia is determined. At the same time, the removal of polyps is not carried out separately, but in the process of curettage of the endometrium. Upon completion of the curettage procedure, the vagina is treated with antiseptics. A few hours after the operation, the woman can go home.
There are a number of restrictions that must be observed in the postoperative period:
Curettage of the cervical canal is a fairly common operation in gynecology. It can help identify diseases female organs, responsible for childbirth, on early stages development. This allows you to start treatment on time. What else can this procedure be prescribed for?
The cervical canal is the space that connects the vagina and the uterine cavity. It is along it that sperm move towards the egg to fertilize it. Inflammatory processes can occur not only inside the uterus, but also in the cervical canal. Often there may be sexually transmitted infections. However, during the examination, the doctor will only see the presence of suspicious mucus. To install accurate diagnosis, a vaginal smear is taken from the patient and sent for histology. But very often the cause of the disease is not easy to find out. In such cases, curettage of the cervical canal is used.
Thanks to this procedure, it is possible to detect the disease by initial stage development, which greatly simplifies treatment. During surgery special tool Only the top layer of the endometrium is removed, so over time the surface of the uterus will completely restore its structure. IN diagnostic purposes curettage is used mainly to check the presence or absence dangerous diseases, which are malignant in nature.
Gynecologists distinguish three types of cervical canal curettage.
Diagnostic. Samples are taken to test for diseases.
Separate diagnostic curettage(RDV). When carrying out this procedure, scrapings are taken separately. First from the cervical canal, then from the uterus. Ready sample also sent for histological examination. For diagnostic purposes, RDV can be performed in cases where there are endometrial polyps, fibroids and other neoplasms on the uterus.
Separate type scraping. Separate diagnostic curettage under hysteroscope control. This operation is carried out using a hysteroscope (a device that is designed to diagnose the condition of the internal cavity of the uterus during gynecological manipulations). A hysteroscope is indispensable for abnormal shape and position of the uterus. During diagnosis, they insert into the uterus special tube with a camera with which you can monitor the procedure. The hysteroscope is used not only during the operation, but also after it to check the results. It is able to show whether all tumors have been removed and how carefully the scraping was taken.
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It is worth noting that all of the above types of scraping can be used for both diagnosis and treatment. In the first case, they check whether the diagnosis is correct, and in the second, pathological neoplasms are removed.
Indications for curettage of the cervical canal for treatment purposes:
For diagnostic purposes, the procedure is prescribed for:
Before any operation, preparation is necessary. Scraping is no exception. First they give up necessary tests, an ultrasound of the pelvic organs and an ECG are performed. As a rule, the procedure is prescribed 2-3 days before the expected menstruation. This allows you to assess the natural state of the endometrium. The patient should not eat or drink anything immediately on the day of surgery.
The curettage procedure itself is very unpleasant and painful, so it is performed under general anesthesia.
Using a specially designed instrument, the doctor cleans the cervical canal and uterine cavity. The extracted tissue particles are sent for examination. As a rule, there is no postoperative rehabilitation period after such an intervention. Within a few hours the patient can return to normal life.
Separate diagnostic curettage (SDC) from an examination method can turn into medical procedure, during which uterine bleeding is stopped, removed benign neoplasms. Manipulation is prescribed to women of reproductive age, but in rare cases it is used in adolescents. Indications for therapeutic and diagnostic curettage:
There are practically no contraindications for emergency treatment and diagnostic procedures. If the WFD is planned, the following conditions serve as grounds for postponing its dates:
The procedure is often performed as planned, so it is preceded by an examination of the patient. If curettage is an emergency, most of the tests are done in the hospital. To prepare for hospitalization, the following studies are necessary:
A set of general clinical examinations is also prescribed. Diagnostic curettage is performed in the morning strictly on an empty stomach, in the evening a light dinner is allowed no later than 20 hours. On the day of surgery, the anesthesiologist collects anamnesis to determine the risks of anesthesia, measures blood pressure and pulse. Before the procedure, the woman is given premedication 30 minutes to reduce nervous excitement and activity of the vagal system.
Most often, separate diagnostic curettage of the uterine cavity is performed under intravenous anesthesia. In women with contraindications to it, the procedure can be performed under paracervical anesthesia. The patient is positioned in the gynecological chair in the Trendelenburg position with the head end down. Before curettage begins, the doctor performs a two-handed examination to determine the size and position of the uterus. Operation stages:
The woman is transferred to the ward for further observation. For the purpose of prevention infectious complications antibiotics are prescribed, according to indications - infusion therapy, contracting drugs. A heating pad with ice is placed on the lower abdomen. In the first few days, slight bloody discharge may be observed, which gradually decreases.
The duration of hospitalization depends on the reasons for separate diagnostic curettage and the patient’s condition. After discharge from the hospital, sexual rest for 1 month and contraception are recommended until the results of histological examination are received. You cannot take hot baths, visit the sauna, sunbathe, or douche. Further observation is carried out by the treating gynecologist.
Diagnostic curettage is a small gynecological surgery which may be accompanied by complications. Their risk depends on compliance with the rules for preparing a woman for manipulation and the doctor’s recommendations. The consequences of the procedure may be:
Diagnostic curettage of the cervical canal, as well as its cavity, is the removal of the surface layer of the mucous membrane that covers the cervical canal and the body of the uterus. They resort to it for the purpose of diagnosis and differentiation gynecological diseases. The term “separate diagnostic curettage of the uterine cavity and cervical canal”, abbreviated as RDV, is also used.
Separate curettage is called because curettage of the uterine cavity and cervical canal is carried out separately.
Curettage of the cervical canal of the cervix and its cavity is classified as diagnostic procedures, since the removed tissue is further examined under a microscope.
During the procedure, only upper part endometrium. Since she is recovering well, negative consequences will not happen if curettage was performed:
The main purpose of curettage is to confirm or exclude malignant degeneration of uterine tissue. So, the clinic will offer curettage of the uterine cavity for endometrial hyperplasia. The manipulation is carried out two to three days before the start of menstruation.
The attending physician informs the patient in advance how the procedure is going, what its consequences are, talks about pregnancy after uterine curettage, and the like.
Curettage itself injures the uterine mucosa. This means that bleeding and pain after curettage of the uterus must be controlled, and the manipulation itself must be carried out strictly according to indications. Indications:
Curettage may not always be possible. In addition, complications can develop after it.
Contraindications to the procedure:
Complications may be:
Each patient must undergo a thorough examination before curettage. Its results may determine how long you need to stay in the hospital after curettage of the uterine cavity. The most informative are:
Before scraping the uterine cavity and cervical canal, you should unquestioningly adhere to a certain preparation regimen.
Two weeks before the procedure you need:
Two to three days before separate diagnostic curettage of the uterine cavity, you should:
On the last day, 8-12 hours before curettage, you need to stop eating, and in the morning before the procedure, you should stop drinking.
Separate diagnostic curettage of the uterine cavity and cervical canal is carried out in a hospital under intravenous anesthesia. The patient is on the gynecological chair. A speculum is inserted into the vagina, and the cervix is grasped with special forceps. The depth of the uterine cavity is measured with a probe.
Curettage is done with a curette. This is a surgical instrument that looks like a small spoon with a sharp edge - it is used to scrape off the top layer of the mucous membrane, which is then placed in special solution and sent to the laboratory. After the procedure, they wait for the patient to wake up from drug-induced sleep, and, if there are no complications, she is discharged home by the end of the current day.
Bloody discharge after curettage of the uterine cavity can come out over several hours.
A number of restrictions have been formed for the next two weeks after curettage - the patient cannot:
The patient should immediately consult the doctor who performed the curettage if:
On our website Dobrobut.com you can also read about therapeutic curettage - for example, how curettage of a polyp in the uterus is done.
Content
Curettage (curettage, cleaning) of the cervical canal is a fairly widely practiced gynecological operation. The procedure is carried out if necessary differential diagnosis or confirming the diagnosis in the presence of certain symptoms.
The cervical canal (Cervix) is the isthmus that connects the uterine cavity and the vagina. It is thanks to this organ that the cavity reproductive organ protected from infections, and through it male reproductive cells penetrate into the uterus.
Since the cervical canal opens directly into the vagina, the infection initially develops in the latter. And only then does it rise higher. A gynecologist may suspect infection during an examination. As a rule, the reason for prescribing curettage is the presence of mucus of uncharacteristic consistency or color in the cervical canal. A woman notes uncharacteristic discharge from the genital tract.
In some cases, smear cytology cannot give a complete clinical picture. Get the most useful information The curettage procedure helps determine the current state of the cervical canal.
The technique makes it possible to identify the disease at the very beginning of its formation, which greatly simplifies the treatment of the detected pathology.
During curettage, only the upper layer of the mucous membrane of the cervical canal is removed, which is then completely restored.
In gynecology, three types of cervical canal curettage are used.
All three types of curettage can be practiced not only for diagnostic, but also for therapeutic purposes. They are carried out only in a hospital setting.
Curettage of the cervical canal is performed in the following cases.
For diagnostic purposes, the technique is practiced in the following cases:
Carrying out diagnostic curettage of the cervical canal requires special preparation. The woman is prescribed the following tests:
To eliminate the risk of uterine bleeding Curettage is carried out two to three days before the start of menstruation.
Such timing of the procedure is as close as possible to the natural process of mucosal rejection.
The procedure for curettage of the cervical canal is quite painful and therefore requires anesthesia. Typically, the patient receives intravenous anesthesia and sleeps throughout the procedure.
Curettage of the cervical canal is carried out on a gynecological chair using a curette. All collected material placed in formaldehyde and submitted for histological examination. Total duration cleaning – 20-40 minutes. Then the woman is woken up and transferred to the ward.
Scraping stages:
During curettage, only the the upper layer of the mucous membrane of the cervical canal.
Preparation also includes the following points:
Doctors call the main complications after curettage of the cervical canal:
The development of complications depends on the experience of the gynecologist performing the procedure.
The woman will bleed quite heavily for several hours after the cleansing. This is a normal phenomenon, since in this way the uterus is freed from the remnants of the damaged endometrium. Then the discharge becomes more scanty and continues for 7 to 14 days.
If after curettage of the cervical canal no blood discharge is observed, this sign indicates a hematometra.
This must be reported to the gynecologist immediately. Otherwise, there is a high risk of developing more serious complications.
In the next two weeks it is necessary to avoid certain situations and procedures:
A woman needs urgent medical care when the following symptoms appear:
In the absence pathological symptoms indicating the development of complications, a visit to the gynecologist is scheduled for 10–14 days after curettage. A woman may be recommended to undergo a transvaginal ultrasound to assess the current condition of the uterus.
Treatment is prescribed after receiving histology results.
