Gynecologic ond Obsletrtc Surgery

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Gynecologic ond Obstetric Surgery

li4gs are obtained before

is then curetted. Curettings are removed with stone fueeps and collected on Telfa placed in the posterior funix. A small serrated curette is used to scrape the rfrerine walls again; or, when a D & C id p'brformed to lemove placental tissue, a large, blunt'curette and wum forceps are used. Ifa fractional D & C is performed, endocervical curettlrre

hinging endometrial cells into cervical

uterus is sounded to avoid

os.

Arms may be extended on armboards. DITAIATION OF THE CERVIX AND CURETTAGE OF THE UTERUS (D & C) Definition The gradual enlargement of the cervical canal and re' moval (ty scraping) of endocervicalror endornetrial tissue for histolologic study.
Discussion The procedure is usually performed to diagnose cervical

lbporotion of the Potient fiollowing the administration of regional or general mesthesia, the patient is positioned in lithotomy.

Sir

Preporotion

Tegln at the pubic symphysis and extend downward rer the labia. Cleanse each inner thigh. Vagindl vault

fnnges. Discard each sponge after wiping anus. lhe patient's bladder is usually drained with a straight

ldeervix are cleansed using spongesiicks (ihree). The ;rineum and anus are cleansed wittt tlt"- t"*aittittg .the

or uterine malignancy, control dysfunctional uterine

bleeding, complete incomplete abortion, aid in evaluat-

rape sheet under the buttocks, leggrngs, and drape sLeet over the abdomen

ing infertility, and relieve dysmenorrhea. Fractional

curettage differentiates between endocervical and endometrial lesions. Procedure

A weighted speculum is placed in the vaginal vaulL The cervix is grasped with a tenaculum. A sound.is
passed through the cervical canal into the uterine cavity to determine its depth and angulation. The cervii is

dilated with graduated dilatorq. The uterine cavity may be explored with stone forceps. The uterine cavity
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(for specimen) pad or sanitary napkin belt