VACUUM CURETTAGE OF THE UTERUS WlTHOUT ANAESTHESIA
A Comparison with Conventional Curettage
Article first published online: 23 AUG 2005
DOI: 10.1111/j.1471-0528.1972.tb15775.x
Issue
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BJOG: An International Journal of Obstetrics & Gynaecology
Volume 79, Issue 2, pages 168–174, February 1972
Additional Information
How to Cite
Saunders, P. and Rowland, R. (1972), VACUUM CURETTAGE OF THE UTERUS WlTHOUT ANAESTHESIA. BJOG: An International Journal of Obstetrics & Gynaecology, 79: 168–174. doi: 10.1111/j.1471-0528.1972.tb15775.x
Publication History
- Issue published online: 23 AUG 2005
- Article first published online: 23 AUG 2005
- Abstract
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Summary
A comparison has been made of the histologinal appearances of the endometrium of 73 patients undergoing vacuum curettage of the uterus without anaesthesia followed by conventional curettage under general anaesthesia a day later. Vacuum curettage specimens may show epithelial cell cytoplasmic vacuolation which may falsely suggest that ovulation has taken place, and a loose stromal pattern which can mask cystic hyperplasia.
Conventional curettage specimen on the following day may show a pattern of endometritis.
One endometrial polyp and one case of cystic hyperplasia were diagnosed only by conventional curettage.
One endometrial polyp and one case of cystic hyperplasia were diagnosed only by conventional curettage.
The discomfort produced by vacuum curettage was comparable with dysmenorrhoea or the insertation of an intrauterine contraceptive device. In all but two patients it last for less than one hour.

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