Curettage is a surgical procedure that is performed in order to avoid a strong bleeding and prevent a possible infection in the matrix. Also known as scraping the matrix, this intervention consists in extracting the endometrium, the thinnest layer of the uterus, using an instrument called curette. There are two types of curettage: the Gynecologic and the obstetric. The first is to get samples and perform further studies in women who suffer from abundant or irregular menstrual cycles, or that bleed after menopause. The obstetric is a curettage performed to remove tissue residues that remain after a miscarriage, or childbirth.
To diagnose if a woman who has suffered a miscarriage presents remains products of conception in the matrix is necessary will perform an ultrasound. After having a result of the study is appropriate, if necessary, to the realization of a curettage, this to avoid bleeding and prevent infection. After the administration of general anesthesia, the curettage procedure is brief, between 10 and 15 minutes. Right away, the gynecologist dilates the neck of the womb with instruments known as dilators; then enter a small vacuum cleaner across the neck of the uterus and suctioned uterine contents or employs legra to manually extract the remains abortive, if this is the case of the intervention. Recovery for women who have been subjected to this intervention is generally simple, they recover quickly and can incorporate into their work in a few days; However it is recommended to consult the specialist in case of presenting heavy bleeding with clots, intense pain in the lower abdomen, vaginal discharge odor or fever. Among the complications or risks involved in an intervention of this nature may be the possibility of puncturing the uterus because the matrix is very weak; incomplete evacuation, i.e. that some tissue remains remain within the matrix which can cause bleeding or infection and the need for a new curettage.
Another risk is the Asherman syndrome, which refers to the inability of the uterus to produce endometrium, which is caused by an excessive curettage of the endometrium during an obstetric cleaning procedure or intrauterine infection. If it has to undergo this procedure, it is very important to be in a recognized clinical and supervised by medical staff trained and responsible. It should be noted that they there are alternatives to curettage as drugs that cause the matrix to contract and is empty; However sometimes it is still necessary to resort to surgery to empty the uterus completely.