Treatment of incomplete uterine aspiration after artificial abortion

Artificial abortion is a last resort remedial measure for women who fail to obtain contraception. Artificial abortion surgery includes vacuum aspiration and forceps curettage. Some complications may occur during the surgery, such as uterine perforation, incomplete aspiration, missed aspiration, etc. Among them, incomplete aspiration refers to the residual of some pregnancy tissue after artificial abortion, which is one of the more common complications.

If a woman bleeds for more than 10 days after an abortion, the amount of bleeding is heavy, or heavy bleeding resumes after the bleeding stops, incomplete aspiration should be considered, and B-mode ultrasound examination is helpful for diagnosis. Incomplete aspiration is related to factors such as the operator's unskilled skills, excessive uterine curvature, and uterine malformation. By understanding the cause of its occurrence, targeted methods can be taken to prevent it according to the cause.

For patients with incomplete uterine aspiration, if there are no obvious signs of infection, uterine curettage can be performed after a clear diagnosis. Preoperative precautions: Carefully inquire about the patient's medical history, review the first surgical record, analyze the reasons for the failure of the first surgery, and avoid the recurrence of uterine cavity residues; if the gestational age is already older, the appropriate method of termination of pregnancy should be selected according to the size of the fetus; antibacterial drugs can be used before surgery and continue to be used after surgery to prevent infection; if the patient has an infection and heavy bleeding, uterine curettage should be performed while preparing blood and anti-shock treatment, and a large amount of antibacterial drugs should be used to treat the infection; the scrapings should be sent for pathological examination, etc.