Presentation
Her child was 14 months old at the time of her presentation to our center. Her husband divorced her a year prior to her presentation when the child was 2 months old. The husband was not responsible for the current pregnancy. [casereports.in]
CONCLUSION(S): Dilatation and curettage is an inadequate diagnostic and therapeutic tool for all uterine disorders; this technique missed 62.5% of major intrauterine disorders, and all endometrial disorders were still present in the removed uterus. [ncbi.nlm.nih.gov]
Case Presentation A D&C was performed on a 36-year-old 2 parous woman because of missed abortion at 9 weeks of gestation. She had undergone lower segment cesarean section twice. [hindawi.com]
Henry Regnery Co, Chicago1949 () Article Info Footnotes ☆Presented at the Forty-seventh Annual Meeting of the Pacific Coast Obstetrical and Gynecological Society, Monterey, California, October 6–11, 1980. [ajog.org]
Gastrointestinal
- Projectile Vomiting
She developed moderate vaginal bleeding which was associated with colicky abdominal pain and projectile vomiting a day after the procedure. Three days later, she went back to the same hospital because of worsening symptoms. [casereports.in]
Psychiatrical
- Hypnotic State
The hypnotic state was deepened by a challenging method, an approach to focus the patient’s concentration on an important aspect of her desires. After witnessing sufficient signs of trance, the surgery was initiated. [anesthpain.com]
Neurologic
- Extrapyramidal Symptoms
After operation, the Post-Anaesthesia Discharge Score (PADS), patient self-assessment scores for pain, nausea, drowsiness and dizziness, and extrapyramidal symptoms were recorded. [ncbi.nlm.nih.gov]
Workup
AIM: A biopsy is often taken as part of the preoperative workup, regardless of the indication for hysterectomy. [ncbi.nlm.nih.gov]
Surgical treatment should be proposed only for diagnosis remaining uncertain after complete workup, significant and related symptoms or exceptionally when exists concern with malignancy. [endoscopy-campus.com]
Circumstances in which this may be necessary include molar pregnancy or to aid in the workup of patients with habitual miscarriage. However, in cases of elective terminations or when products of conception are obvious, this step may be omitted. [emedicine.medscape.com]
Treatment
Treatment depends on the diagnosis. For example, if cancer is diagnosed, treatment options include hysterectomy (surgical removal of the uterus), radiotherapy, chemotherapy and hormone therapy. [betterhealth.vic.gov.au]
Treatment responses were evaluated every 3 months. EM aspiration biopsy was conducted after LNG-IUS removal followed D&C. The tissue samples were histologically compared. [ncbi.nlm.nih.gov]
NICE guidance states that D&C should not be used as a therapeutic treatment. [scarboroughryedaleccg.nhs.uk]
Prognosis
CONCLUSIONS: While neither symptomatic nor asymptomatic cervical polyps are an indication for dilatation and curettage (following excision) in women in their reproductive years, and do not affect their management or prognosis, this is not the case in [ncbi.nlm.nih.gov]
[…] lesions usually with a good prognosis. [radiopaedia.org]
Etiology
The sensitivity of diagnosing the etiology of AUB with D&C was 65%, compared to a sensitivity of 98% with hysteroscopy with directed biopsy. [mdedge.com]
AIM: The aim of this study was to clarify the role of dilatation and curettage (D&C) performed for spontaneous or induced abortion in the etiology of endometrial thinning. [ncbi.nlm.nih.gov]
Conclusions: according to the current knowledge on the etiology of AUB, this study showed that traditional diagnostic D&C has low accuracy in the evaluation of AUB and a cost/benefit relation incompatible with current medicine. [scielo.br]
Original Article First published: 26 January 2017 Citations: 5 Abstract Aim The aim of this study was to clarify the role of dilatation and curettage (D&C) performed for spontaneous or induced abortion in the etiology of endometrial thinning. [obgyn.onlinelibrary.wiley.com]
Abnormal uterine bleeding: etiology and management of acute and chronic excessive bleeding. In: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Comprehensive Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017:chap 26. Updated by: John D. [nlm.nih.gov]
Epidemiology
This systematic review was conducted according to the MOOSE (Meta-analysis Of Observational Studies in Epidemiology) and PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. [humrep.oxfordjournals.org]
Seromucinous cystadenoma: According to some authors, seromucinous cystadenomas likely derive from endometriosis.[5] Epidemiology Serous cystadenoma: Benign serous tumors of the ovary represent 16% of all ovarian epithelial neoplasms and account for two-thirds [ncbi.nlm.nih.gov]
Epidemiology United States data The prevalence of hepatic cystadenomas is low, with fewer than 200 cases reported in the literature. These tumors account for a very small number of all hepatic tumors. [emedicine.medscape.com]
Pathophysiology
Pathophysiology Hepatic cystadenomas appear as multilocular (rarely unilocular) cystic lesions that are surrounded by a smooth and thick fibrous capsule. [emedicine.medscape.com]
Since the pathophysiological mechanism behind D&C and subsequent preterm birth remains unclear, it is unsure whether cervical shortening will occur prior to preterm birth. [humrep.oxfordjournals.org]
Prevention
[…] pathologic factors (mainly submucous myomata) adds to the data confirming the lack of precision of dilatation and curettage, and supports the contention that diagnostic hysteroscopy is an essential tool in the management of abnormal uterine bleeding and the prevention [ncbi.nlm.nih.gov]
Beginning systemic enzymes after bleeding has stopped, after D&C, may help to prevent scar tissue from forming. Prevention of scar tissue will help to prevent Asherman’s syndrome and blocked fallopian tubes. [natural-fertility-info.com]