Aspirate from the uterus

In case of detection of any pathologies, malformations or abnormalities of uterine development in women, as well as uterine bleeding of incomprehensible origin, with malfunctions in the menstrual cycle, infertility, a study of the uterine cavity is necessary without delay. If you analyze the number of malignant lesions of the sexual organs of a woman, the main percentage will be cancer of the uterus. Identify it at an early stage can not all, because for this you need a regular visit to a gynecologist, and this, unfortunately, is not respected by all. At the slightest suspicions or doubts the gynecologist appoints or takes aspirate from a cavity of a uterus. As a result of this study, the attending physician receives exhaustive information about the uterine endometrium, and on the basis of this material, a final diagnosis is established and individual treatment of the patient is administered.

In our time, aspirates from the uterine cavity can be taken even in polyclinics (women's clinics), which will allow the gynecologist in a short time to have an idea of the pathological processes taking place in the uterine cavity. Cytological study of this process is the most important diagnostic method that allows timely detection of cancer in its early preclinical stage, as well as provide differential diagnosis between malignant neoplasm and other conditions of the endometrium.

Until now, the aspirate from the uterine cavity could be taken with the aid of a Brown syringe (paipel). The pipe has the appearance of a plastic catheter three hundred millimeters long and an external diameter of three millimeters. The final part, directly inserted into the uterine cavity, is tightly sealed, and on the side there is an opening having a diameter of two millimeters. Inside there is a metal conductor.

Naturally, the sterility of the instruments must be observed, and they must also be dry, since contact with formalin, desalter or water can significantly damage endometrial cells. Pipel is inserted to the bottom of the uterine cavity. Then, a slow pulling of the piston during the movement of the cannula along the surface of the uterine cavity, or, more precisely, the mucous membrane of its shell, is carried out, and the tube angles are necessarily captured. When pulling out the metal piston, it seems like a suction to the walls of the uterus, and through the opening of the catheter, the cell material is extracted into the pin. It is necessary to produce two or three such pulling movements. Before removing the tool, the pulling of the piston is stopped so that cells from the vagina and the cervical canal do not enter the cavity of the syringe.

Aspirate from the uterine cavity is applied in a thin layer on two dry, degreased, sterile glasses. Its thickness is no more than one and a half millimeters. The material should be applied in an amount of not less than two thirds of the glass surface. If the obtained cellular material is too tightly fixed in the internal walls of the pipe, the tool is then washed in a vial containing a solution of furacillin. Then the vial is closed with a stopper and delivered to the cytology laboratory.

Materials of the fence should be delivered to the laboratory strictly within three days.

The aspirate is taken under modern conditions with the use of new improved cannulas manufactured in Italy, as well as vacuum syringes produced in the USA. This procedure is carried out in the following order. Initially, the disinfecting treatment of genital organs is carried out. Then, with the aid of a mirror, the cervix is exposed, captured by forceps, and using a special probe determines the depth of the uterine cavity. After this, the aspirate from the uterine cavity is taken with the help of a cannula and vacuum syringe. After re-treatment, the aspirate is sent to the laboratory for examination.

Another method of examining the endometrium is curettage of the uterine cavity, but it is more traumatic for the lining of the uterine layer. The whole procedure takes about three minutes, while the patient may experience small pain, but if desired, anesthesia is performed.