DILATATION AND CURETTAGE
DILATATION AND CURETTAGE (D&C), AN OLD BUT STILL RELIABLE PROCEDURE
DILATATION AND CURETTAGE is a surgical procedure used by gynecologists for decades to diagnose and treat uterine problems including:
Dilatation means opening of the cervical canal and Curettage means scraping tissue off the endometrial cavity walls. The only problem, it is a BLIND PROCEDURE. I cannot see where I’m scrapping nor if I removed all the abnormal tissue.
However, with the development of hysteroscopy, I, like most gynecologists, use the hysteroscopy to visualize the uterine cavity before the D&C to better diagnose the abnormal tissue and after to confirm the tissue was completely removed.
D&C is a quick 5-minute minimally invasive surgery with small complication risks of bleeding, infection and perforation, puncture.
For abnormal pregnancies, the technique involves inserting a hollow catheter through the vagina than the cervical canal and into the endometrial or uterine cavity. I connect the catheter to a hollow clear tube that is than connected to a vacuum device. The vacuum is then activated and the tissue inside the uterine cavity is suctioned out. Finally, I perform a sonogram to make sure the uterine cavity is empty.
For non-pregnancy related problems, the technique involves opening the cervix with dilators (no incision, no cutting). I next insert a appropriately sized curette into the cavity and gently scrape out the tissue.
V-WALA THAT’S IT!!
BE AWARE AND TAKE CARE of your health
BY: LEONID SORKIN, MD, FACOG
Frequently Asked Questions
If you have any bleeding irregularities form your vaginal canal, Dilatation and Curettage is a minimally invasive surgical procedure that can help. It is used to clear the uterus of any abnormal tissue that lead to abnormal bleeding. Dr. Sorkin opens the cervix, gently placing in surgical devices in order to clear the uterus and remove any abnormal tissue. This is a same day procedure, allowing patients to go home an hour after the surgery.