Missed abortion Suction D&C

PREOPERATIVE DIAGNOSIS:                Missed abortion.

POSTOPERATIVE DIAGNOSIS:             Missed abortion.

OPERATION PERFORMED:                    Suction D&C.

 

EBL:                                                               Minimal.

ANESTHESIA:                                             General.

COMPLICATIONS:                                     No.

PROCEDURE:                                             This is a 24-year-old gravida 6, para 1-0-4-1 with empty gestational sac on ultrasound.  Risks and benefits were discussed with the patient at length, risks of hemorrhage, infection, and injury to bowel, bladder, and uterus discussed.  Informed consent was obtained.  The patient was taken to the operating room.  General anesthesia was obtained without difficulty.  She was prepped and draped in lithotomy position in candy-cane stirrups.  A weighted speculum was placed inside the vagina.  The anterior lip of the cervix was grasped with single-tooth tenaculum.  The cervix was already noted to be slightly dilated.  A 9-mm suction curette was advanced to the uterine fundus.  The suction device was activated.  A moderate amount of products of conception was evacuated from the uterus.  Sharp curettage followed.  A gritty texture was noted.  The suction device was reintroduced in the site of the uterine cavity.  The remaining clots and debris were evacuated.  All instruments removed from the vagina.  Hemostasis was noted from the tenaculum site.  The patient was awake and taken to the recovery room in stable condition.