-
JPMA. the Journal of the Pakistan... Jun 2017This case series was done at Armed Forces Institute of Cardiology, National Institute of Heart Disease, Rawalpindi, to observe safety and efficacy of manual vacuum...
This case series was done at Armed Forces Institute of Cardiology, National Institute of Heart Disease, Rawalpindi, to observe safety and efficacy of manual vacuum aspiration and frequency of complications in cardiac patients with missed abortion. All cardiac patients presenting in first trimester with diagnosed early foetal demise (missed miscarriage) or incomplete miscarriage were included. Manual vacuum aspiration was done as an outpatient procedure. Cardiac and procedure related complications including arrhythmias, thromboembolism, heart failure and ischaemia were noted. A total of 34 patients were enrolled. Mean age and parity was 25.9±2.25 years and 1.18±1.02. Mitral valve was the dominant valve involved in 20(58.8%) followed by double valve replacement in 5(14.7%), dilated cardiomyopathy 4(11.76%), aortic valve involvement in 3(8.8%) and supra ventricular tachycardia in 2(5.9%) patients. Complete evacuation was achieved in 100% patients and there were no major cardiac or gynaecological complications except arrhythmia in 1(2.9%) patient. MVA seems to be a safe and cost effective intervention compared to other modalities of miscarriage management even in high risk cardiac patients.
Topics: Abortion, Incomplete; Abortion, Missed; Adult; Female; Heart Diseases; Humans; Pregnancy; Pregnancy Complications, Cardiovascular; Pregnancy Trimester, First; Vacuum Curettage; Young Adult
PubMed: 28585602
DOI: No ID Found -
Ugeskrift For Laeger Mar 1976
Topics: Adult; Aged; Dilatation and Curettage; Female; Humans; Middle Aged; Vacuum Curettage
PubMed: 1265850
DOI: No ID Found -
European Journal of Obstetrics,... Mar 2021To evaluate the feasibility, safety, and effectiveness of Focused Ultrasound Ablation Surgery (FUAS) combined with ultrasound-guided suction curettage in the management...
OBJECTIVE
To evaluate the feasibility, safety, and effectiveness of Focused Ultrasound Ablation Surgery (FUAS) combined with ultrasound-guided suction curettage in the management of Cesarean Scar Pregnancy (CSP).
STUDY DESIGN
We retrospectively analyzed 52 patients with CSP from April, 2017, to December, 2019. All the patients received one session of FUAS, and suction curettage under ultrasound guidance was performed 1-3 days after FUAS. The intraoperative blood loss in suction curettage, duration of vaginal bleeding after curettage, reproductive outcomes, and adverse effects were recorded and analyzed.
RESULTS
All the 52 patients completed one session of FUAS combined with suction curettage without serious adverse effects. The mean intraoperative blood loss was 32.81 ± 53.83 mL. 47 (90.38 %) patients had a successful suction curettage with a blood loss of less than 80 mL. 5 (9.62 %) patients had an active bleeding of ≥80 mL; however, the bleeding was stopped effectively by Foley's urinary catheter and no evident bleeding presented when the catheter was removed 24 h later. The mean duration of vaginal bleeding was 7.88 ± 4.24 days. 48 (92.30 %) patients recovered with little vaginal bleeding after curettage. 4 (7.69 %) type III CSP patients experienced late-onset severe bleeding and required UAE or surgery. During 6-36 months of the follow-up period, 12 patients expressed reproductive plan, in which 4 patients delivered by cesarean section, 3 patients had an ongoing pregnancy and 1 patient had an abortion in the early pregnancy.
CONCLUSIONS
FUAS combined with ultrasound-guided suction curettage is a safe and effective treatment strategy in the management of CSP type I and CSP type II and is particularly advantageous for CSP patients with reproductive requirements. However, further studies are warranted to determine the meticulous inclusion criteria for patients with type III CSP.
Topics: Cesarean Section; Cicatrix; Female; Humans; Pregnancy; Retrospective Studies; Treatment Outcome; Ultrasonography, Interventional; Uterine Artery Embolization; Vacuum Curettage
PubMed: 33444810
DOI: 10.1016/j.ejogrb.2020.12.031 -
Boletin de La Asociacion Medica de... 2004
Review
Topics: Adult; Aged; Dysmenorrhea; Female; Humans; Hysteroscopy; Infertility, Female; Middle Aged; Puerto Rico; Retrospective Studies; Shoulder Pain; Syncope; Uterine Diseases; Uterine Hemorrhage; Uterine Neoplasms; Vacuum Curettage
PubMed: 15575329
DOI: No ID Found -
The Journal of Maternal-fetal &... Aug 2021To demonstrate the effectiveness and safety of the defined manual vacuum aspiration (MVA) technique for treatment of type 2 cesarean scar pregnancies (CSPs).
OBJECTIVE
To demonstrate the effectiveness and safety of the defined manual vacuum aspiration (MVA) technique for treatment of type 2 cesarean scar pregnancies (CSPs).
METHODS
We treated 40 patients with CSP by MVA at the Early Pregnancy Clinic of our hospital between 1 January 2012 and 31 December 2014. The files of patients were reviewed and evaluated retrospectively. Eligibility criteria were hemodynamic stability and at least 2 mm myometrial thickness at the anterior part of the CSP. The key-point of successful MVA procedure is to keep away from entering the cesarean scar cavity directly; instead, CSP is displaced from the implantation site by applying vacuum, only while the cannula is passing near.
RESULTS
During the study period, the ratio of CSP to total pregnancies was 1/1000. The ratio of CSP to cesarean delivery (CD) was 1/372. In that time period, CSPs were constituted 4.41% of all ectopic pregnancies. Total of 40 patients were treated with dilatation and MVA. Complications such as excessive hemorrhage, persistence of CSP, and any need of extra intervention were not observed. The beta-hCG values of 21 patients (52.5%) decreased below 10 mIU/mL after the first 15 days, and the rest decreased below 10 mIU/mL after 3 weeks following MVA.
CONCLUSIONS
This MVA technique for treatment of CSP is easily applicable and effective method with high success and low complication rates. For appropriately selected patients, we think that this method can be considered as the first- line treatment.
Topics: Chorionic Gonadotropin, beta Subunit, Human; Cicatrix; Female; Humans; Pregnancy; Pregnancy, Ectopic; Retrospective Studies; Vacuum Curettage
PubMed: 31575309
DOI: 10.1080/14767058.2019.1670807 -
Annals of Emergency Medicine Dec 1982
Topics: Curriculum; Dilatation and Curettage; Emergency Medicine; Female; Humans; Internship and Residency; Pregnancy; Vacuum Curettage
PubMed: 7149366
DOI: 10.1016/s0196-0644(82)80269-2 -
The American Journal of Emergency... Jan 2013
Topics: Abortion, Spontaneous; Adult; Emergency Service, Hospital; Equipment Design; Female; Humans; Pregnancy; Retrospective Studies; Treatment Outcome; United States; Vacuum Curettage
PubMed: 23021402
DOI: 10.1016/j.ajem.2012.07.014 -
International Journal of Environmental... Feb 2018Malawi has a high maternal mortality rate, of which unsafe abortion is a major cause. About 140,000 induced abortions are estimated every year, despite there being a...
Malawi has a high maternal mortality rate, of which unsafe abortion is a major cause. About 140,000 induced abortions are estimated every year, despite there being a restrictive abortion law in place. This leads to complications, such as incomplete abortions, which need to be treated to avoid further harm. Although manual vacuum aspiration (MVA) is a safe and cheap method of evacuating the uterus, the most commonly used method in Malawi is curettage. Medical treatment is used sparingly in the country, and the Ministry of Health has been trying to increase the use of MVA. The aim of this study was to investigate the treatment of incomplete abortions in three public hospitals in Southern Malawi during a three-year period. All medical files from the female/gynecological wards from 2013 to 2015 were reviewed. In total, information on obstetric history, demographics, and treatment were collected from 7270 women who had been treated for incomplete abortions. The overall use of MVA at the three hospitals during the study period was 11.4% (95% CI, 10.7-12.1). However, there was a major increase in MVA application at one District Hospital. Why there was only one successful hospital in this study is unclear, but may be due to more training and dedicated leadership at this particular hospital. Either way, the use of MVA in the treatment of incomplete abortions continues to be low in Malawi, despite recommendations from the World Health Organization (WHO) and the Malawi Ministry of Health.
Topics: Abortion, Incomplete; Abortion, Induced; Adult; Female; Hospitals, Public; Humans; Malawi; Pregnancy; Uterus; Vacuum Curettage; Young Adult
PubMed: 29466308
DOI: 10.3390/ijerph15020370 -
International Journal of Gynaecology...This study compares the performances of four physicians using two types of plastic cannulae (flexible and rigid) for 1100 vacuum aspiration procedures. The criteria for...
This study compares the performances of four physicians using two types of plastic cannulae (flexible and rigid) for 1100 vacuum aspiration procedures. The criteria for assessing physician performance by cannula type were: (a) frequency of cannula obstructions, (b) amount of retained tissue obtained by sharp curettage after vacuum aspiration, (c) estimated blood loss during the procedure and (d) time required to perform the procedure. Data for each physician were compared and yielded significantly different results. The length of time required to use the cannula differed significantly among physicians; two of them had significantly shorter cannula times with the flexible instrument. The others had the lowest distributions of blood loss and the most difference between cannula usage. Consistent grouping over several variables suggests that differences in these criteria are more likely to be attributable to subtle distinctions in operator technique than to variations in equipment.
Topics: Abortion, Induced; Adult; Clinical Competence; Dilatation and Curettage; Female; Humans; Physicians; Postoperative Complications; Pregnancy; Pregnancy Trimester, First; Time Factors; Vacuum Curettage
PubMed: 32110
DOI: 10.1002/j.1879-3479.1978.tb00415.x -
Klinichna Khirurhiia 2017The experience of treatment of 37 patients, suffering diffuse peritonitis, in 18 of them in complex with vacuum-therapy, is adduced. In a comparison group a sanation...
The experience of treatment of 37 patients, suffering diffuse peritonitis, in 18 of them in complex with vacuum-therapy, is adduced. In a comparison group a sanation relaparotomy was applied only. International classifications SOFA, APACHE II, Manheim’s Index of the Peritonitis Severity were used for estimation of the patients’ state severity. The vacuum-therapy application have promoted significant reduction of the abdominal cavity microbial soiling, permitted to escape the compartment syndrome occurrence, and to reduce the sanation relaparotomy performance rate.
Topics: Abdominal Cavity; Adolescent; Adult; Aged; Aged, 80 and over; Female; Humans; Male; Middle Aged; Negative-Pressure Wound Therapy; Peritonitis; Postoperative Complications; Reoperation; Severity of Illness Index; Suppuration; Treatment Outcome; Vacuum Curettage
PubMed: 30272939
DOI: No ID Found