Curettage - what is it? Curettage: reviews

To date, there are a number of pathological conditions and diseases for which the curettage method is applied, or in another way, scraping, cleaning.

Curettage - what is it?

The medical term "curettage" means the cleansing of the body cavity, of any organ or surface of the skin with the help of a special surgical instrument - curette.

The main purpose of this surgical manipulation is the local cleansing of the organism from pathogenic or affected areas. In addition, it can be used for diagnostic curettage and further laboratory studies of biological materials obtained.

Areas of use

Quite often, curettage is used in the following areas of medical practice:

• Dentistry;
• Obstetrics and gynecology;
• Oncology;
• Surgery;
• Aesthetic medicine.

Curettage of armpits

This type of surgical intervention in the field of underarms is used to treat excessive sweating. This is so effective method that in 80% of cases a person once and forgets about such an unpleasant state. Of course, there is a risk of the so-called compensatory hyperhidrosis and some other postoperative complications, but surgeons can easily cope with any undesirable consequences, and the result remains positive.

The essence of the operation is the destruction of the innervation of the sweat glands and their complete or partial removal. Curettage of armpits refers to small surgical interventions and is performed under local anesthesia. First, the surgeon determines the area of increased sweating, which, as a rule, coincides with the zone of hair growth. For a more accurate determination, a Minor test is carried out (treatment with starch and iodine). Then, after the necessary tests and sterilization of the operating field, a direct scraping is performed.

The recovery period after curettage is minimal (on average 1-2 days), since the access zone for surgical manipulations does not exceed half a centimeter.

Curettage of periodontal pockets and teeth

With various diseases of the gums, more often of an inflammatory nature (periodontitis), dentistry is used for treatment. What is it and what is the method? This procedure consists in cleaning the gingival pockets from food debris, stones, various deposits and damaged tissues. These spaces are not physiological, but formed when detached from the surface of the tooth. Curettage of the gums promotes their healing and produces a healing effect.

Types of Gum Curettage

Depending on the severity and depth of the hole formed, two main types of curettage are used:

• closed;
• open.

Let's try to understand them in more detail.

Closed curettage is performed when gums are detached from the tooth surface by less than half a centimeter. With the most insignificant separation (1-2 mm), it is preferable to use the laser cleaning method. For rapid cleaning, special tools are used - dental curettes. In the end, polishing of the tooth is mandatory , and antiseptic treatments are prescribed.

Open curettage is a more extensive intervention used at a depth of the paradontal pocket more than 0.5 cm. The general principles are the same as in the previous method, the only difference is the immediate incision of the gum to access the deeper layers. After the procedure, the surface of the tooth, especially its root, is thoroughly polished, treated with an antiseptic, and the gum is sutured. Special therapeutic ointments or gels are added, which contribute to the fastest healing.

Thus, tooth curettage is not only a therapeutic manipulation, but primarily a preventive one. Carrying out this manipulation makes it possible to prevent the development of more serious diseases and keep the tooth healthy, and gums-non-inflamed.

Curettage in gynecology

Among all gynecological operations, scraping the uterine cavity is one of the everyday and widely used, but among the other types of curettage is the most serious and invasive. The procedure itself is not so long and lasts about 15 minutes. A few hours after its holding, a woman is observed to exclude bleeding.

Curettage of the uterus can be performed both under general anesthesia, and under local or epidural anesthesia - it all depends on the specific case and the extent of the alleged interventions.

Indications

Scraping of the uterine cavity can be performed with two main purposes: therapeutic (for treatment) and diagnostic (for setting the final clinical diagnosis), and the indications to it are as follows:

• uterine bleeding;
• Remnants of fetal membranes or tissues after complicated delivery or abortion;
• Polyps;
• Synechia;
• Inflammatory diseases of the uterus;
• Uterine hyperplasia;
• Undiagnosed changes on the mucous membranes of the uterus (neck or body);
• Prolonged and profuse menstruation;
• infertility;
• abortion;
• miscarriage;
• ectopic pregnancy;
• As a preoperative preparation.

Scraping technique

In gynecological practice, curettage is often used. What it is, is well known to gynecologists. Let us consider in more detail the stages of its conduct.

After all the necessary general clinical studies and elimination of acute inflammatory diseases of the pelvic organs and somatic pathologies, obtaining a written consent of the patient for the procedure is performed scraping of the uterine cavity. In the course of the operation, only the upper layer of the mucosa is removed, which itself is rejected during the menstrual period.

After placing the patient in the gynecological chair and making anesthesia, widen the vaginal walls with special instruments, then the cervix and then only violate the immediate cleaning.

Often, not only the uterine cavity is scraped, but also the cervical canal, which is called separate diagnostic scraping. The obtained samples are placed in sterile tubes, labeled and sent to the laboratory for further analysis.

Prophylactic measures after scraping

Within 10-14 days after the curettage, categorically it is strictly forbidden:

• Use tampons (only gaskets);
• to make love;
• Syringing;
• Lie in the bathroom or go to the sauna (sauna);
• Take aspirin or other blood thinning medications;
• Play sports and wear weights.

Possible complications and risks after curettage

Although this procedure is routine, but if the technique of its implementation is not complied with, the unfavorable features of the structure of organs or simply a confluence of circumstances, certain complications may arise:

• Allocation of abundant blood clots or bleeding;
• Spastic pain;
• infectious diseases;
• Inflammatory processes;
• infertility;
• Perforation of the walls of the uterus or cervix.

Therefore, if after the operation you have at least one of the symptoms listed below, contact your doctor immediately.

Symptoms requiring emergency care:

• Prolonged bleeding or large clots (for two or three hours more than two or three pads were used);
• Pain or discomfort in the lower abdomen;
• Increased body temperature;
• Unpleasant smelling discharge from the vagina.

It is also necessary to monitor the nature of menstruation after cleaning and must inform their doctor about their changes.

Curettage: reviews

Many patients underwent this procedure. The testimonies indicate that the curettage of the paradontal pockets helps to clean germs under the gum, as well as granulomas that are on the root of the tooth. Many patients with paradontosis respond positively to the procedure.

The recovery period after curettage of the uterus, according to the reviews, goes quite quickly. The operation is usually prescribed for women with hyperplasia and polyps.

According to patients, the curettage of the armpits is quite expensive, but really effective.

Conclusion

So, we considered a procedure called curettage. What it is, you now know. Armed with the necessary knowledge, you with ease and without consequences, if necessary, carry out this procedure, sign an informed consent to it.