ASSISTING WITH DILATATION ASSISTING WITH DILATATION AND CURETTAGE PROCEDUREAND CURETTAGE PROCEDURE

Roseline TiggaM.Sc Nsg 1st year

SCON, Piparia

DEFINITIONDEFINITION

Assisting in expansion of cervical canal of Assisting in expansion of cervical canal of uterus and scraping the surface lining of uterus and scraping the surface lining of the uterine wall by a metal device called the uterine wall by a metal device called curette. This procedure is done during curette. This procedure is done during the premenstrual phasethe premenstrual phase..

INDICATIONSINDICATIONS

   

DIAGNOSTICDIAGNOSTIC INDICATIONSINDICATIONS-:-:

THERAPEUTICTHERAPEUTIC

DIAGNOSTICADIAGNOSTICA

--Dysfunctional uterine bleedingDysfunctional uterine bleeding

- - Pathologic amenorrheaPathologic amenorrhea..

--Endometrial tuberculosisEndometrial tuberculosis

--Endometrial carcinomaEndometrial carcinoma

--Postmenpausal bleedingPostmenpausal bleeding

--Chorion epitheliomaChorion epithelioma

THERAPEUTICTHERAPEUTIC-:-:--Dysfunctional uterine bleedingDysfunctional uterine bleeding

--Endometrial polypEndometrial polyp..

--Removal of IUDRemoval of IUD..

--Incomplete abortionIncomplete abortion..

--To drain pyometraTo drain pyometra

--Evacuation of hydatidiform moleEvacuation of hydatidiform mole

--Prior to insertion of intrauterine radium Prior to insertion of intrauterine radium implantsimplants..

--To prevent cervical stenosis in menchester To prevent cervical stenosis in menchester operation for uterine prolapsedoperation for uterine prolapsed..

CONTRAINDICATIONSCONTRAINDICATIONS::

--Vaginal and cervical infectionVaginal and cervical infection

--Pelvic infectionPelvic infection

--Suspected uterine pregnancySuspected uterine pregnancy

SPECIAL INSTRUMENTS SPECIAL INSTRUMENTS USEDUSED

Tell me which are the instruments is used for D&C?

TechniqueTechnique

instrumentsinstruments

Steps of D&CSteps of D&C

  PROCEDUREPROCEDURE-:-:

Lets discuss the procedure with its Lets discuss the procedure with its rationalerationale..

Have a look at or pamphletHave a look at or pamphlet..

POST OPERATIVE CAREPOST OPERATIVE CARE-:-:

--Check the vital signsCheck the vital signs

--Instruct the patient to rest in bed until theInstruct the patient to rest in bed until the

anesthetic effect is reversedanesthetic effect is reversed

--Check the amount of bleedingCheck the amount of bleeding

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