PREOPERATIVE DIAGNOSIS:
Missed abortion.
POSTOPERATIVE DIAGNOSIS:
OPERATIVE PROCEDURE:
ANESTHESIA:
Missed abortion.
Suction D&C.
General.
ESTIMATED BLOOD LOSS:
300 mL.
FINDINGS: Moderate to large amount of apparent products of
conception.
TECHNIQUE:
The patient was brought the operating room where she
was placed on the operating table in the supine position and
underwent general anesthesia without complication. She was then
placed in the dorsal lithotomy position using candy-cane stirrups.
The surgeon was scrubbed, gowned, and gloved. The patient was
sterilely prepped and draped in the usual fashion for vaginal
surgery.
A weighted speculum was placed in the posterior aspect of the vagina
and the anterior lip of the cervix was grasped with a single-tooth
tenaculum. The uterus was sounded to 15 cm, and the cervix was
dilated with the progressive type dilators. The 10-mm suction
curette was introduced into the uterine cavity and suction applied.
A moderate to large amount of apparent products of conception were
collected together to be sent to pathology for further evaluation.
The suction curette was withdrawn and the polyp forceps were used to
remove some additional tissue. A sharp curettage was performed and
then the suction curette was then reintroduced to thoroughly
evacuate the endometrial cavity. All sponges and instruments were
removed.
Bimanual exam revealed the uterus to be firm and small.
was resounded this time to 12 cm.
The uterus
All sponge and instrument counts were correct. The patient
tolerated the procedure well and was taken to the recovery room in
good condition.