SlideShare una empresa de Scribd logo
1 de 22
Descargar para leer sin conexión
LECTURER:UMAR TARIQ
MSC ANAESTHESIA/OTT
WHAT IS D&C
 Dilation(or dilatation) and curettage refers to the
dilation(widening/opening) of the cervix and surgical
removal of part of the lining of the uterus or contents
of the uterus by scraping and scooping(curettage)
 Mostly used in first trimester miscarriage or abortion.
D&C TRAY
 Sponge holding-2
 Sims vaginal speculum.
 Sims vaginal wall retractor.
 Cusco`s vaginal speculum.
 Vulsellum forceps 2
 Cervical dilator(Hegar`s dilator).
 Sims uterine curette
 Ayre`s spatula.
 Uterine sounds.
SIMS VAGINAL SPECULUM
 Used for exposing and inspecting the vaginal wall and
cervix.
 For collecting discharge from vagina and cervix for
microscopy
 Used in D&C ,IUCD insertions etc.
 To detect vesicovaginal fistula, vaginal wall prolapse
like cystocele, enterocele etc
 To detect cervical carcinomas and its different
diagnosis.
Dilatation and curettage
Sims vaginal wall retractor
 Used to retract the lax vaginal wall to expose the
cervix.
 To visualize cervix , cystocele and growth on vagina.
 To visualize site of fistula like vesico vaginal fistula etc.
 Can be rarely used as a curette to remove the retained
bits of placenta.
Dilatation and curettage
Vulsellum forceps
 Vulsellum forcep has multiple sharp teeth at the end
which, when locked , give a firm grip on the cervix
 20 cm in length, curved or straight
 Used to grasp or hold the anterior lip of the cervix in
operations.
 To steady the cervix to get firm grip on cervix so as to
pass any instrument inside the uterus during
procedure like D&C.
 To determine the degree of uterine prolapse.
Dilatation and curettage
Uterine sounds
 To determine the uterocervical length,position of
uterus
 Used in diagnosis of cervical elongation.
 To determine the location of the displaced intrauterine
contraceptive device(IUCD).
 Used to diagnose cervical stenosis.
 Used to drain pyometra in case of carcinoma
cervix/endometrium.
Dilatation and curettage
Cervical dilator(HEGAR`S DILATOR)
 They are double ended or single ended metal dilators
with a suitable curve for the uterocervical canal in
pregnant uterus.
 Used mainly in obstetrical indications
 Used to dilate the internal os of the cervix in cases of
abortion or in medical termination of pregnancy for
suction and evaculation.
 Used to dilate the cervix during the LSCS for the
draining of lochia.
Dilatation and curettage
Cusco`s vaginal speculum
 Self retaining retractor
 It causes least discomfort during the introduction.
 It gives good exposure as it can be adjusted to the size
of the vagina.
 Used for inspection of vagina and cervix.
 Useful in pap smear, cervical biopsy, high vaginal
swab etc.
Dilatation and curettage
Sims uterine curette
 The ends of the curette may be blunt and sharp or both
ends sharp or both blunt
 Loops are of various sizes-small ,medium, large.
USES OF SHARP CURETTE
 Used for gynecological conditions for both diagnostic and
therapeutic purposes
 In DUB(dysfunctional uterine bleeding) for histopathology
of endometrium.
 Used in suspected cases of tuberculous endometritis.
 In patients with postmenopausal bleeding.
 Used before certain operations like fothergill`s operation.
USES OF BLUNT CURETTE
 Mainly used in obstetrical conditions
 Used to curette retained bits of products in incomplete
abortion.
 Used to curette the retained bits of placenta
Dilatation and curettage
Ayer`s spatula
 Made up of wood or plastic
 One end is rounded and the other end is used for
scraping squamocolumnar junction.
 Used to take smear directly from the cervix or pap
smear.
 Used for screening of carcinoma cervix.
Wooden spatula
Plastic spatula
Dilatation and curettage

Más contenido relacionado

La actualidad más candente

La actualidad más candente (20)

Cephalopelvic disproportion (CPD) & Contracted pelvis
Cephalopelvic disproportion (CPD) & Contracted pelvisCephalopelvic disproportion (CPD) & Contracted pelvis
Cephalopelvic disproportion (CPD) & Contracted pelvis
 
D&E procedure
D&E procedure D&E procedure
D&E procedure
 
Gynecological and Obstetrics instruments
Gynecological and Obstetrics instrumentsGynecological and Obstetrics instruments
Gynecological and Obstetrics instruments
 
Labour and its stages
Labour and its stagesLabour and its stages
Labour and its stages
 
Mechanism of labour
Mechanism of labourMechanism of labour
Mechanism of labour
 
Intrauterine fetal death
Intrauterine fetal death Intrauterine fetal death
Intrauterine fetal death
 
Caesarean section
Caesarean sectionCaesarean section
Caesarean section
 
Caesarean section
Caesarean sectionCaesarean section
Caesarean section
 
Threatened abortion
Threatened abortion Threatened abortion
Threatened abortion
 
Vaginal examination
Vaginal examinationVaginal examination
Vaginal examination
 
instruments ostetrics and gynaecology ppt
instruments ostetrics and gynaecology pptinstruments ostetrics and gynaecology ppt
instruments ostetrics and gynaecology ppt
 
Partograph
PartographPartograph
Partograph
 
Retro-version of uterus
Retro-version of uterusRetro-version of uterus
Retro-version of uterus
 
Normal labour
Normal labourNormal labour
Normal labour
 
Partograph
Partograph Partograph
Partograph
 
Ectopic Pregnancy
Ectopic PregnancyEctopic Pregnancy
Ectopic Pregnancy
 
Breech presentation
Breech presentationBreech presentation
Breech presentation
 
Female sterlization
Female sterlizationFemale sterlization
Female sterlization
 
Forcep delivery
Forcep deliveryForcep delivery
Forcep delivery
 
Induction of labor
Induction of laborInduction of labor
Induction of labor
 

Similar a Dilatation and curettage

instruments-130925122246-phpapp02.pdf
instruments-130925122246-phpapp02.pdfinstruments-130925122246-phpapp02.pdf
instruments-130925122246-phpapp02.pdfDrtejaswinikrteju
 
Instruments used in gynecology and obstetrics ~ young doctors research forum
Instruments used in gynecology and obstetrics ~ young doctors  research forumInstruments used in gynecology and obstetrics ~ young doctors  research forum
Instruments used in gynecology and obstetrics ~ young doctors research forumJonathan Bwalya
 
lowersegmentalcaesariansectiontray-190513181406.pdf
lowersegmentalcaesariansectiontray-190513181406.pdflowersegmentalcaesariansectiontray-190513181406.pdf
lowersegmentalcaesariansectiontray-190513181406.pdfMaylynAngalan1
 
Instruments Gynecological/ obstetrics/ Compilation / Ziauddin Hospital
Instruments Gynecological/ obstetrics/ Compilation / Ziauddin HospitalInstruments Gynecological/ obstetrics/ Compilation / Ziauddin Hospital
Instruments Gynecological/ obstetrics/ Compilation / Ziauddin HospitalDr. Darayus P. Gazder
 
Gynecological and obstetrics Instruments
Gynecological and obstetrics InstrumentsGynecological and obstetrics Instruments
Gynecological and obstetrics InstrumentsSandhya Kumari
 
Surgical Instruments in Gynaecology and Obstetrics by Dr UAK
Surgical Instruments in Gynaecology and Obstetrics by Dr UAKSurgical Instruments in Gynaecology and Obstetrics by Dr UAK
Surgical Instruments in Gynaecology and Obstetrics by Dr UAKDr UAK
 
PRESENTATION ON-vaginal examination.ppt
PRESENTATION ON-vaginal examination.pptPRESENTATION ON-vaginal examination.ppt
PRESENTATION ON-vaginal examination.pptnaveenithkrishnan
 
Instruments of Gyne And Obs.pptx
Instruments of Gyne And Obs.pptxInstruments of Gyne And Obs.pptx
Instruments of Gyne And Obs.pptxsoftae
 
3D-4D ULTRASOUND IN UTERINE SEPTUM EVALUATION
3D-4D ULTRASOUND  IN UTERINE SEPTUM EVALUATION3D-4D ULTRASOUND  IN UTERINE SEPTUM EVALUATION
3D-4D ULTRASOUND IN UTERINE SEPTUM EVALUATIONNARENDRA MALHOTRA
 
Vaginal examination for b.sc iv year
Vaginal examination for b.sc iv yearVaginal examination for b.sc iv year
Vaginal examination for b.sc iv yearanjalatchi
 
presentation1-140615135842-phpapp02.pptx
presentation1-140615135842-phpapp02.pptxpresentation1-140615135842-phpapp02.pptx
presentation1-140615135842-phpapp02.pptxNehaPandey199
 
OPERATION THEATURE MANAGEMENT FOR NURSES
OPERATION THEATURE MANAGEMENT FOR NURSESOPERATION THEATURE MANAGEMENT FOR NURSES
OPERATION THEATURE MANAGEMENT FOR NURSESshanza aurooj
 
Cervical uterine smear (pap smear).pptx
Cervical uterine smear (pap smear).pptxCervical uterine smear (pap smear).pptx
Cervical uterine smear (pap smear).pptxTeonaMacharashvili
 
Special radiographic procedure -Hysterosalpingography.pptx
Special radiographic procedure -Hysterosalpingography.pptxSpecial radiographic procedure -Hysterosalpingography.pptx
Special radiographic procedure -Hysterosalpingography.pptxFisihaFikiru
 

Similar a Dilatation and curettage (20)

instruments-130925122246-phpapp02.pdf
instruments-130925122246-phpapp02.pdfinstruments-130925122246-phpapp02.pdf
instruments-130925122246-phpapp02.pdf
 
Instruments used in gynecology and obstetrics ~ young doctors research forum
Instruments used in gynecology and obstetrics ~ young doctors  research forumInstruments used in gynecology and obstetrics ~ young doctors  research forum
Instruments used in gynecology and obstetrics ~ young doctors research forum
 
INSTRUMENTS.pptx
INSTRUMENTS.pptxINSTRUMENTS.pptx
INSTRUMENTS.pptx
 
lowersegmentalcaesariansectiontray-190513181406.pdf
lowersegmentalcaesariansectiontray-190513181406.pdflowersegmentalcaesariansectiontray-190513181406.pdf
lowersegmentalcaesariansectiontray-190513181406.pdf
 
Lower segmental caesarian section tray
Lower segmental caesarian section trayLower segmental caesarian section tray
Lower segmental caesarian section tray
 
Instruments Gynecological/ obstetrics/ Compilation / Ziauddin Hospital
Instruments Gynecological/ obstetrics/ Compilation / Ziauddin HospitalInstruments Gynecological/ obstetrics/ Compilation / Ziauddin Hospital
Instruments Gynecological/ obstetrics/ Compilation / Ziauddin Hospital
 
Vaginal hystrectomy set
Vaginal hystrectomy setVaginal hystrectomy set
Vaginal hystrectomy set
 
Gynecological and obstetrics Instruments
Gynecological and obstetrics InstrumentsGynecological and obstetrics Instruments
Gynecological and obstetrics Instruments
 
Surgical Instruments in Gynaecology and Obstetrics by Dr UAK
Surgical Instruments in Gynaecology and Obstetrics by Dr UAKSurgical Instruments in Gynaecology and Obstetrics by Dr UAK
Surgical Instruments in Gynaecology and Obstetrics by Dr UAK
 
Laparoscopic Ovarian Surgery
Laparoscopic Ovarian SurgeryLaparoscopic Ovarian Surgery
Laparoscopic Ovarian Surgery
 
PRESENTATION ON-vaginal examination.ppt
PRESENTATION ON-vaginal examination.pptPRESENTATION ON-vaginal examination.ppt
PRESENTATION ON-vaginal examination.ppt
 
Instruments of Gyne And Obs.pptx
Instruments of Gyne And Obs.pptxInstruments of Gyne And Obs.pptx
Instruments of Gyne And Obs.pptx
 
3D-4D ULTRASOUND IN UTERINE SEPTUM EVALUATION
3D-4D ULTRASOUND  IN UTERINE SEPTUM EVALUATION3D-4D ULTRASOUND  IN UTERINE SEPTUM EVALUATION
3D-4D ULTRASOUND IN UTERINE SEPTUM EVALUATION
 
Vaginal examination for b.sc iv year
Vaginal examination for b.sc iv yearVaginal examination for b.sc iv year
Vaginal examination for b.sc iv year
 
presentation1-140615135842-phpapp02.pptx
presentation1-140615135842-phpapp02.pptxpresentation1-140615135842-phpapp02.pptx
presentation1-140615135842-phpapp02.pptx
 
Cervical stitches
Cervical stitchesCervical stitches
Cervical stitches
 
OPERATION THEATURE MANAGEMENT FOR NURSES
OPERATION THEATURE MANAGEMENT FOR NURSESOPERATION THEATURE MANAGEMENT FOR NURSES
OPERATION THEATURE MANAGEMENT FOR NURSES
 
Cervical uterine smear (pap smear).pptx
Cervical uterine smear (pap smear).pptxCervical uterine smear (pap smear).pptx
Cervical uterine smear (pap smear).pptx
 
Hystrectomy.pptx
Hystrectomy.pptxHystrectomy.pptx
Hystrectomy.pptx
 
Special radiographic procedure -Hysterosalpingography.pptx
Special radiographic procedure -Hysterosalpingography.pptxSpecial radiographic procedure -Hysterosalpingography.pptx
Special radiographic procedure -Hysterosalpingography.pptx
 

Más de principal phoenix paramedical college pulwama kashmir

Más de principal phoenix paramedical college pulwama kashmir (20)

Respiratory physiology
Respiratory physiologyRespiratory physiology
Respiratory physiology
 
Structure and function of the respiratory tract in
Structure and function of the respiratory tract inStructure and function of the respiratory tract in
Structure and function of the respiratory tract in
 
Cardiac procedure tray
Cardiac procedure trayCardiac procedure tray
Cardiac procedure tray
 
Face mask, airways,et tubes and laryngoscopes
Face mask, airways,et tubes and laryngoscopesFace mask, airways,et tubes and laryngoscopes
Face mask, airways,et tubes and laryngoscopes
 
Masks and its types
Masks and its typesMasks and its types
Masks and its types
 
Storage of food
Storage of foodStorage of food
Storage of food
 
Food adulteration
Food adulterationFood adulteration
Food adulteration
 
Cooking
CookingCooking
Cooking
 
Digestive system
Digestive systemDigestive system
Digestive system
 
Normal dietary requirements and deficiency diseases of each
Normal dietary requirements and deficiency diseases of eachNormal dietary requirements and deficiency diseases of each
Normal dietary requirements and deficiency diseases of each
 
Water soluble vitamins(AGA UMAR)
Water soluble vitamins(AGA UMAR)Water soluble vitamins(AGA UMAR)
Water soluble vitamins(AGA UMAR)
 
Minerals,water and vitamins( umar)
Minerals,water and vitamins( umar)Minerals,water and vitamins( umar)
Minerals,water and vitamins( umar)
 
Minerals,water and vitamins
Minerals,water and vitaminsMinerals,water and vitamins
Minerals,water and vitamins
 
Carbohydrates(AGA UMAR
Carbohydrates(AGA UMARCarbohydrates(AGA UMAR
Carbohydrates(AGA UMAR
 
Proteins (UMAR TARIQ)
Proteins (UMAR TARIQ)Proteins (UMAR TARIQ)
Proteins (UMAR TARIQ)
 
Thoracotomy (AGA UMAR TARIQ)
Thoracotomy  (AGA UMAR TARIQ)Thoracotomy  (AGA UMAR TARIQ)
Thoracotomy (AGA UMAR TARIQ)
 
Intraoperative care (AGA UMAR TARIQ)
Intraoperative care (AGA  UMAR TARIQ)Intraoperative care (AGA  UMAR TARIQ)
Intraoperative care (AGA UMAR TARIQ)
 
Nutrition ( AGA UMAR TARIQ)
Nutrition ( AGA UMAR TARIQ)Nutrition ( AGA UMAR TARIQ)
Nutrition ( AGA UMAR TARIQ)
 
Orthopaedic instrument trays
Orthopaedic instrument traysOrthopaedic instrument trays
Orthopaedic instrument trays
 
Ether
EtherEther
Ether
 

Último

SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdfSGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdfHongBiThi1
 
Male Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and BeyondMale Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and BeyondSujoy Dasgupta
 
BENIGN BREAST DISEASE
BENIGN BREAST DISEASE BENIGN BREAST DISEASE
BENIGN BREAST DISEASE Mamatha Lakka
 
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdf
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdfPAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdf
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdfDolisha Warbi
 
Using Data Visualization in Public Health Communications
Using Data Visualization in Public Health CommunicationsUsing Data Visualization in Public Health Communications
Using Data Visualization in Public Health Communicationskatiequigley33
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsMedicoseAcademics
 
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...Shubhanshu Gaurav
 
Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.kishan singh tomar
 
historyofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusanguhistoryofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusangu Medical University
 
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationPhysiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationMedicoseAcademics
 
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaMale Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaSujoy Dasgupta
 
blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project reportNARMADAPETROLEUMGAS
 
Basic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxBasic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxkomalt2001
 
power point presentation of Clinical evaluation of strabismus
power point presentation of Clinical evaluation  of strabismuspower point presentation of Clinical evaluation  of strabismus
power point presentation of Clinical evaluation of strabismusChandrasekar Reddy
 
How to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyHow to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyZurück zum Ursprung
 
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptxANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptxWINCY THIRUMURUGAN
 

Último (20)

SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdfSGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
 
Rheumatoid arthritis Part 1, case based approach with application of the late...
Rheumatoid arthritis Part 1, case based approach with application of the late...Rheumatoid arthritis Part 1, case based approach with application of the late...
Rheumatoid arthritis Part 1, case based approach with application of the late...
 
Male Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and BeyondMale Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and Beyond
 
BENIGN BREAST DISEASE
BENIGN BREAST DISEASE BENIGN BREAST DISEASE
BENIGN BREAST DISEASE
 
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdf
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdfPAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdf
PAIN/CLASSIFICATION AND MANAGEMENT OF PAIN.pdf
 
Using Data Visualization in Public Health Communications
Using Data Visualization in Public Health CommunicationsUsing Data Visualization in Public Health Communications
Using Data Visualization in Public Health Communications
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functions
 
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
 
Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.
 
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
 
historyofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusanguhistoryofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusangu
 
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationPhysiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
 
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaMale Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
 
blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project report
 
Basic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxBasic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptx
 
power point presentation of Clinical evaluation of strabismus
power point presentation of Clinical evaluation  of strabismuspower point presentation of Clinical evaluation  of strabismus
power point presentation of Clinical evaluation of strabismus
 
How to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyHow to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturally
 
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptxANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
 
American College of physicians ACP high value care recommendations in rheumat...
American College of physicians ACP high value care recommendations in rheumat...American College of physicians ACP high value care recommendations in rheumat...
American College of physicians ACP high value care recommendations in rheumat...
 
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
 

Dilatation and curettage

  • 2. WHAT IS D&C  Dilation(or dilatation) and curettage refers to the dilation(widening/opening) of the cervix and surgical removal of part of the lining of the uterus or contents of the uterus by scraping and scooping(curettage)  Mostly used in first trimester miscarriage or abortion.
  • 3. D&C TRAY  Sponge holding-2  Sims vaginal speculum.  Sims vaginal wall retractor.  Cusco`s vaginal speculum.  Vulsellum forceps 2  Cervical dilator(Hegar`s dilator).  Sims uterine curette  Ayre`s spatula.  Uterine sounds.
  • 4. SIMS VAGINAL SPECULUM  Used for exposing and inspecting the vaginal wall and cervix.  For collecting discharge from vagina and cervix for microscopy  Used in D&C ,IUCD insertions etc.  To detect vesicovaginal fistula, vaginal wall prolapse like cystocele, enterocele etc  To detect cervical carcinomas and its different diagnosis.
  • 6. Sims vaginal wall retractor  Used to retract the lax vaginal wall to expose the cervix.  To visualize cervix , cystocele and growth on vagina.  To visualize site of fistula like vesico vaginal fistula etc.  Can be rarely used as a curette to remove the retained bits of placenta.
  • 8. Vulsellum forceps  Vulsellum forcep has multiple sharp teeth at the end which, when locked , give a firm grip on the cervix  20 cm in length, curved or straight  Used to grasp or hold the anterior lip of the cervix in operations.  To steady the cervix to get firm grip on cervix so as to pass any instrument inside the uterus during procedure like D&C.  To determine the degree of uterine prolapse.
  • 10. Uterine sounds  To determine the uterocervical length,position of uterus  Used in diagnosis of cervical elongation.  To determine the location of the displaced intrauterine contraceptive device(IUCD).  Used to diagnose cervical stenosis.  Used to drain pyometra in case of carcinoma cervix/endometrium.
  • 12. Cervical dilator(HEGAR`S DILATOR)  They are double ended or single ended metal dilators with a suitable curve for the uterocervical canal in pregnant uterus.  Used mainly in obstetrical indications  Used to dilate the internal os of the cervix in cases of abortion or in medical termination of pregnancy for suction and evaculation.  Used to dilate the cervix during the LSCS for the draining of lochia.
  • 14. Cusco`s vaginal speculum  Self retaining retractor  It causes least discomfort during the introduction.  It gives good exposure as it can be adjusted to the size of the vagina.  Used for inspection of vagina and cervix.  Useful in pap smear, cervical biopsy, high vaginal swab etc.
  • 16. Sims uterine curette  The ends of the curette may be blunt and sharp or both ends sharp or both blunt  Loops are of various sizes-small ,medium, large. USES OF SHARP CURETTE  Used for gynecological conditions for both diagnostic and therapeutic purposes  In DUB(dysfunctional uterine bleeding) for histopathology of endometrium.  Used in suspected cases of tuberculous endometritis.  In patients with postmenopausal bleeding.  Used before certain operations like fothergill`s operation.
  • 17. USES OF BLUNT CURETTE  Mainly used in obstetrical conditions  Used to curette retained bits of products in incomplete abortion.  Used to curette the retained bits of placenta
  • 19. Ayer`s spatula  Made up of wood or plastic  One end is rounded and the other end is used for scraping squamocolumnar junction.  Used to take smear directly from the cervix or pap smear.  Used for screening of carcinoma cervix.