In surgery , the curettage or curettage involves the use of one or curette curette to remove tissue from the uterus by scraping or cucharillado. It can be used to obtain a biopsy of a mass to determine if it is a granuloma , neoplasia , or another kind of tumor . It can also be used palliatively to reduce masses; In many places it is still used to perform a surgical abortion within the first three months or as a post- abortion treatment (in some places the latter two interventions are performed with the use of specific drugs). It is usually part of the operation called dilatation and curettage , and is often used as an equivalent term for this operation.

In gynecology , dilatation and curettage (D and L) is a procedure that is performed blindly and in which, after dilation of the cervical canal with a speculum, the uterine cavity is cleaned . Endometrial tissue is then removed for examination .

This procedure must be performed in hospitals or clinics and requires local or general anesthesia (depending on the particular conditions of each case).

Indications of curettage

Diagnosis of uterine cancer , removal of tissues following miscarriage, treatment of heavy menstrual bleeding, infertility investigation , treatment of profuse or irregular bleeding, endometrial polyposis , uterine thickening , embedded intrauterine devices , postmenopausal bleeding , abnormal bleeding during therapy hormone replacement .Also is used in patients with molas hydatidiform partial or complete.

Risks associated

The risks associated with curettage include incomplete evacuation of conception products , 1 perforation of the uterus, damage to the endometrium , intrauterine adhesions or Asherman syndrome , damage to the cervix , infections of the uterus or pelvic area, and Bleeding . In addition, it involves the risks usually associated with all surgical operations and the use of general anesthesia. 2 3


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  2. Back to top↑ Dilation and curettage
  3. Back to top↑ Complications of pregnancy