martes, 3 de septiembre de 2013

CURETTAGE

In surgery, curettage involves the use of a curette for removing tissue from the uterus by scraping or cucharillado. It can be used to obtain a biopsy of a mass to determine if it is a granuloma, malignancy, or other detumor class. Palliation can also be used to reduce mass, in many places is still used to perform a surgical abortion within the first three months or as treatment after a spontaneous abortion (in some places the latter two interventions are carried out with the use of drugs specific). Often part of the operation called dilation and curettage, and is often used as a term equivalent of this operation.
In gynecology, dilation and curettage (D & C) is a procedure that is performed blindly and in which, following dilation of the cervical canal with a speculum, it proceeds to the cleaning of the uterine cavity. After endometrial tissue is removed for examination.
This procedure should be performed in a hospital or clinic and usually requires anesthesia localo (according to conditions in each case).
Diagnosis of uterine cancer, removal of tissue after a spontaneous abortion, treatment of heavy menstrual bleeding, infertility research, treatment of heavy or irregular bleeding, endometrial polyps, uterine thickening, embedded intrauterine devices, post-menopausal bleeding, abnormal bleeding during therapy hormone replacement.

Risks associated
The risks associated with incomplete evacuation curettage include LACONCEPCION product, one perforation of the uterus, endometrial damage, intrauterine adhesions or Asherman's syndrome, damage to the cervix, uterus infections or bleeding and pelvic area . Also involves the risks normally associated with all surgical operations and the use of general anesthesia.

Recommendations after curettage
1. Leave the Hospital with CONDUCR NO VEHICLES PASSENGER AND 2. Rest in bed or chair at least 24 hours after intervention 3. You can get up to eat or go to the toilet. If you do shower together. April. DARK FLOW is normal one, similar to menstruation (period), intermittent or constant for a couple of weeks. Some women do not bleed very little, others have "cramps" and delete any clots in the first days after surgery. Both of these things are normal, provided they do not exceed what is usually normal monthly bleeds. May. Use external compresses during the first three days and then protection (panty) if needed: avoid using tampons. June. Your first menstrual period may occur after 2 -6 weeks. Ask your doctor if it takes more than six weeks. July. You can have sex since I want, but not intercourse until three weeks after the intervention. August. If you have pain in the lower abdomen (lower stomach), similar to a rule, you can take a current analgesic (paracetamol, Nolotil, antispasmodic ...) with a little liquid. 9. Give your family physician discharge report that is given. 10. Contact your health center in case of: • Major bleeding a rule, persistently • hypogastrium pain that does not respond to common analgesics odor • Flow • Fever 11. The material extracted with curettage (tissue) is sent for pathology. If the result does not reveal significant alterations this report is archived in its history. Otherwise you will quote from the Hospital.