Today, one of the most frequently performed small gynecological operations is endometrial scraping. This intervention can be carried out with both therapeutic and diagnostic purposes.
This operation removes the mucous membranethe uterine cavity, but not all, but only the functional layer. Restoration of the endometrium after scraping comes from its growth layer, which remains after scraping.
From the beginning of the cycle, the uterine mucosa changes andthickens, preparing for a possible embryo implantation. If pregnancy does not occur, then it is rejected and menstruation occurs. In the next cycle, everything repeats itself again. In fact, endometrial scraping is similar to menstruation, but it is performed instrumentally. Usually, planned manipulations are attempted several days before bleeding. If they are performed at the beginning or middle of the cycle, then there may be prolonged spotting. During menstruation, surgery can not be performed either, since the scraping obtained during this period will be uninformative due to necrotic changes in the mucous membrane.
Begin the operation from the cervical canal togrowth layer. The resulting material and endometrium after scraping is sent for histological examination separately. The result of this study is ready in two weeks. It must necessarily be taken and shown to the treating gynecologist.
Today more and more often scraping endometriumunder the control of hysteroscopy. Without it, manipulation is actually carried out blindly. With the use of a hysteroscope, the doctor first examines the uterine cavity, then scrapes, and afterwards regulates its work. The use of modern equipment can reduce the likelihood of injuries and complications in patients.
Scraping is carried out with the objectives:
- get material for histology;
- remove polyps or synechia.
Before manipulation it is necessary to pass the following researches:
- general tests of urine and blood;
- consultation of the therapist;
- smears on cytology and flora;
- blood biochemistry;
- determine the Rh factor and blood group;
- learn the level of sugar;
- to make ultrasound;
- To be surveyed on hepatitises, a lues, a HIV.
Today, in many even public hospitals, this operation is performed under good intravenous anesthesia. However, the result is worth it.
The patient easily falls asleep and wakes up straight inoperating. Further, she is taken to a wheelchair on a gurney, where she can still sleep. An hour later she was allowed to start drinking and sitting. In two she can already get up and eat, and after three leaves home.
Much depends on the qualification of the anesthesiologist. However, after such anesthesia, there is no nausea, a headache, a person is practically conscious. Sensations such as if a person were awakened after a deep sleep, he may not remember something.
Scraping - the operation is fairly simple, it takes 20 minutes. However, after it there may still be some complications:
- perforation of the uterus;
- inflammation of the uterus;
- hematometer (cervical spasm and accumulation of blood in the uterus);
- excessive curettage.
But they are rare. As a prevention of inflammation, the doctor will prescribe, most likely, a course of antibiotics. Normally, after an intervention for several hours, there may be a bleeding, so it is necessary to take gaskets with you. Another about a week may be spotting.
Thus, endometrial scraping is one ofthe most common and comfortable gynecological operations, especially if it involves a qualified gynecologist and anesthesiologist. The use of hysteroscopy will significantly reduce the risk of complications and injuries.