Manual vacuum aspiration uterine treatment of incomplete abortion to 12 gestational weeks: an alternative to curettage

To analyze the effectiveness and occurrence of complications, in addition to hospitalization time and blood losses. Thirty patients were assigned alternatively and consecutively to one of two groups (15 to the Curettage Group and 15 to the Manual Vacuum Aspiration Group). The following variables wer...

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Bibliographic Details
Published in:Revista Brasileira de ginecologia e obstetrícia 2011-10, Vol.33 (10), p.292-296
Main Authors: Saciloto, Marcio Pedroso, Konopka, Cristine Kolling, Velho, Maria Teresa de Campos, Jobim, Flávio Cabreira, Resener, Elaine Verena, Muradás, Raquel Rodrigues, Nicolaou, Panait Kosmos
Format: Article
Language:Portuguese
Subjects:
Abortion, Incomplete - surgery
Adult
Curettage
Female
Humans
Pregnancy
Pregnancy Trimester, First
Prospective Studies
Vacuum Extraction, Obstetrical
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Summary:To analyze the effectiveness and occurrence of complications, in addition to hospitalization time and blood losses. Thirty patients were assigned alternatively and consecutively to one of two groups (15 to the Curettage Group and 15 to the Manual Vacuum Aspiration Group). The following variables were analyzed: effectiveness of the method, occurrence of complications, time before the procedure, time of execution of the procedure, time after the procedure, and total time of hospital permanence, in addition to hematocrit and hemoglobin, which were measured before and after the procedure. Patients were evaluated clinically 10 to 14 days after the procedure. Parametric and nonparametric tests were used for statistical analysis, with the level of significance set at p>0.05. Both methods were efficient and no complications were recorded. Blood losses were similar in the two groups, but the hospitalization time was significantly shorter for the Manual Vacuum Aspiration Group (p=0.03). Manual vacuum aspiration is as efficient and safe as uterine curettage, with the advantage of requiring shorter hospitalization, which increases the resolution of the method, improving the quality of care for these patients.
ISSN:1806-9339