Suction-curettage
The surgery is performed between the 7th and 14th SA. It aims to evacuate a miscarriage (blighted ovum, miscarriage or spontaneous miscarriage ...).
Process:
-First medical consultation:This should :-Confirm pregnancy and determine the gestational age-Exclude ectopic pregnancy-INFORM clearly about the surgical procedure, risks and potential side effects.-Second medical consultation: It is the check up examination. It is recommended but not mandatory. Must be carried out between day 14 and day 21. The aim is to observe if the uterus is empty, if the bleeding has stopped and the absence of infection.Surgical technique:
Prevention of rhesus allo immunization by injection of anti-D is performed 72 hours before surgery for women Rhesus negative.In theory it is the only technique possible between the 7th and the 14th AG.It can be performed under general or local anesthesia.The surgeon performs a cervical dilation prior to drug or mechanical Hegar candles.They then perform an endo-uterine aspiration through a suction tube connected to a "vacuum".Aspiration may be supplemented by a gentle curettage with a curette to scrape the uterine cavity and to ensure its emptiness.Surgical complications:
-Immediate:-Accidents related to anesthesia-Uterine perforation during dilation or aspiration.-Haematometra (intrauterine accumulation of blood causing pain)-Vagal (when cervical dilation)-Cervical tear Early:-Hemorrhages-Infectious complications: endometritis, salpingitis, pelvic peritonitis or sepsis.-Thromboembolic complications-Retention of trophoblast debris-Delayed:-Impact on future fertility: endo-uterine synechiae (leading to amenorrhea and infertility. Incompetent cervix. Increased risk of ectopic pregnancy.-Psycho sequelae.Rhesus alloimmunization
Victor Hugo