Volume 4 ; Issue 1 ; in Month : Jan-Jun (2020) Article No : 127
Hussam Zain

Abstract

Uterine evacuation is a procedure that used to manage many types of gynecological problems such as incomplete miscarriage, inevitable miscarriage, molar pregnancy and termination of pregnancy especially when the pregnancy associated with lethal congenital anomalies. Surgical evacuation (D and C) dilatation and curettage is usually done under anesthesia or sedation with light general anesthesia; sometimes-local Paracervical block or regional anesthesia can be used. The D and C procedure has many complications such uterine bleeding, trauma to the cervix, scarring of the uterus, infection and uterine perforation that can be very serious when the perforation reached the bowl causing damage and necessitate performing laparotomy so as to manage the case. MVA is a device made of plastic, uses negative pressure to evacuate the uterine content, since it a plastic material it is gentler to the uterus with fewer complications and specifically less uterine perforation incomparable with metallic dilatation and curettage Objectives: To study the MVA as a method of uterine evacuation and sampling and to determine the rate of complications of MVA in Alfashir maternity Hospital. Material and method This observational descriptive study was conducted in the Department of Obstetrics and Gynecology, Alfashir-Sudan Hospital from 15th of January 2015 to 15th June 2015. One hundred seventy-seven patients attended to gynecology casualty with miscarriage (inevitable or incomplete), blighted ovum, missed miscarriage and endometrial sampling, All cases underwent uterine evacuation or endometrial sampling using Manual Vacuum Aspiration then the patient was observed and data recorded for analysis for success rate and complications. Result: The result shows that no major complications with the use of MVA such as uterine perforation or sever hemorrhage , 86.8% of the patients has no complications at all the rest had complications such as bleeding 12.5% which is very mild bleeding, which does not require transfusion at all and incomplete evacuation 0.7% and no uterine perforation Conclusion: Finally, MVA is a safe device for uterine evacuation with minimal complications and can be recommended to replace traditional D and C in the future.

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