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الأربعاء، 21 ديسمبر، 2011

D & C

D & C


Indications :

I-       Dilatation

1-Dilatation alone

-Spasmodic dysmenorrheal

-Drainage of pyometra or haematometra

-Cervical stenosis

2-Dilatation before another operation

-Operations  of the cervix

-Operations  of the uterus

-Operations  of the tube

II- Curetage

1- Diagnostic

-Premenstrual endometrial biobsy for detection of ovulation

-TB endometritis

-Postmenopausal bleeding

-Endometrial carcinoma

2-Theraputic

-Membranous dysmenorrheal

-Metropathia haemorrhagica

-Polypectomy

-Removal of IUD

Complications :

I-comp. of anaesthesia

II-comp. of dilatations :

1-Immediate:

-Trauma to vagina ,cervix or uterus

-Infections : peritonitis

2-Remote :-Ectropion

-Patulous internal os of the cervix

-Asherman $

-PID

III-comp. of curettage :

-Asherman $

-Injury of fibroid capsule ( hge)

 من كتاب خالد عبد المالك بتاع الالات صفحة 17

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