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VACUUM CURETTAGE OF THE UTERUS WlTHOUT ANAESTHESIA
Author(s) -
Saunders Peter,
Rowland Robert
Publication year - 1972
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1972.tb15775.x
Subject(s) - curettage , medicine , endometritis , uterus , endometrial hyperplasia , vacuum aspiration , general anaesthesia , endometrium , hyperplasia , endometrial polyp , surgery , pregnancy , obstetrics , pathology , biology , research methodology , population , family planning , genetics , environmental health
Summary A comparison has been made of the histologinal appearances of the endometrium of 73 patients undergoing vacuum curettage of the uterus without anaesthesia followed by conventional curettage under general anaesthesia a day later. Vacuum curettage specimens may show epithelial cell cytoplasmic vacuolation which may falsely suggest that ovulation has taken place, and a loose stromal pattern which can mask cystic hyperplasia. Conventional curettage specimen on the following day may show a pattern of endometritis. One endometrial polyp and one case of cystic hyperplasia were diagnosed only by conventional curettage. One endometrial polyp and one case of cystic hyperplasia were diagnosed only by conventional curettage. The discomfort produced by vacuum curettage was comparable with dysmenorrhoea or the insertation of an intrauterine contraceptive device. In all but two patients it last for less than one hour.