Erum Sajid
Faith & Hope Hospital, IndiaPresentation Title:
Real time ultrasound with surgical evacuation for missed abortion and its success rate
Abstract
Abstract: Introduction: Dilation and curettage (D&C), with or without suction/vacuum aspiration, is a frequently performed gynecological procedure. However, it is historically carried out blindly with an early complication rate of approximately 6%. Such early complications include uterine perforation, excessive bleeding greater than 500 ml, retained products of conception necessitating further intervention and pelvic infection. The aim of this study was to analyse how real time ultrasound decreases the rate of these complications .
Methods: This study was carried out in the Obstetrics and Gynaecology Department of the Faith and Hope Hospital in Patna from July 2020 to July 2023.A consecutive series of 115 subjects who had missed miscarriage or incomplete miscarriage of <10 weeks of gestation were subjected to usg guided D&C procedure and outcomes noted in terms of time duration of the procedure, mean blood loss, completeness of procedure and need for additional procedure.
Results: IN OUR STUDY OF 115 Patients, we found that mean age of patients presenting with miscarriage was around 27yrs and around 58.26% were nulliparous. The mean duration of procedure was around 17 minutes. The most important aspect of our study was that 98.18% patients who underwent S/E procedure had a complete evacuation as it was under USG guidance. A very important observation in our study was also no incidence of uterine perforation as the dilators were introduced under USG guidance.
Conclusions: Ultrasound-monitored D/C +/-negative pressure suction has obvious advantages. It shortens operation time, reduce operative complications, and ensure a safe and effective abortion. Most striking result was the completeness of the procedure such that no repeat procedures were needed.
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