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Aspiração manual intrauterina no tratamento do abortamento incompleto até 12 semanas gestacionais: uma alternativa à curetagem uterina

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Title
Aspiração manual intrauterina no tratamento do abortamento incompleto até 12 semanas gestacionais: uma alternativa à curetagem uterina
Published in
Revista Brasileira de Ginecologia e Obstetrícia, October 2011
DOI 10.1590/s0100-72032011001000004
Pubmed ID
Authors

Marcio Pedroso Saciloto, Cristine Kolling Konopka, Maria Teresa de Campos Velho, Flávio Cabreira Jobim, Elaine Verena Resener, Raquel Rodrigues Muradás, Panait Kosmos Nicolaou

Abstract

To analyze the effectiveness and occurrence of complications, in addition to hospitalization time and blood losses. Thirty patients were assigned alternatively and consecutively to one of two groups (15 to the Curettage Group and 15 to the Manual Vacuum Aspiration Group). The following variables were analyzed: effectiveness of the method, occurrence of complications, time before the procedure, time of execution of the procedure, time after the procedure, and total time of hospital permanence, in addition to hematocrit and hemoglobin, which were measured before and after the procedure. Patients were evaluated clinically 10 to 14 days after the procedure. Parametric and nonparametric tests were used for statistical analysis, with the level of significance set at p>0.05. Both methods were efficient and no complications were recorded. Blood losses were similar in the two groups, but the hospitalization time was significantly shorter for the Manual Vacuum Aspiration Group (p=0.03). Manual vacuum aspiration is as efficient and safe as uterine curettage, with the advantage of requiring shorter hospitalization, which increases the resolution of the method, improving the quality of care for these patients.

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