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  • Title: Outpatient diagnostic suction curettage: a personal series.
    Author: Dempsey PJ.
    Journal: N Z Med J; 1982 Jan 27; 95(700):45-6. PubMed ID: 6950320.
    Abstract:
    The experience of a gynecologist in the use of the Vabra aspirator for determining endometrial status in New Zealand women with menstrual disturbances is reported. Over a 3-1/2 year period, 201 patients were referred to their general practitioners because of abnormal vaginal bleeding. Of the 196 patients who consented to Vabra curettage the preliminary vaginal examination was not possible in 2 patients and it was not possible to pass the sound or aspirator beyond the internal os in 6 patients. Outpatient curettage was performed on the remaining 188 patients. The age range was 22-77 years. The most common indications were heavy, frequent or irregular periods or post-menopausal bleeding. Intermenstrual or post-coital bleeding were less common indications for determining endometrial status. Specimens suitable for a histological diagnosis were obtained from all but 9 women. 8 of these 9 women presented with post-menopausal bleeding. Most patients were able to resume normal activities immediately, and none needed to rest for longer than 5 minutes after the procedure. There were no known cases of syncope, perforation, hemorrhage, or infection. 154 patients rated their discomfort during the procedure as minimal or nil; 28 complained of moderate discomfort and 6 of severe discomfort. Patient discomfort was reported to be less as experience was gained by the operator. Bleeding after the procedure was limited to transient spotting in all but 2 cases.
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