Safety and efficacy of manual vacuum suction compared with conventional dilatation and sharp curettage and electric vacuum aspiration in surgical treatment of miscarriage: a randomized controlled trial.

BMC Pregnancy and Childbirth
Toshiyuki KakinumaHirokazu Tanaka

Abstract

The World Health Organization does not recommend dilatation and sharp curettage (D&C) for the surgical treatment of miscarriage during the first trimester because this may cause Asherman's syndrome due to endometrial damage; therefore, suction remains the primary treatment option. While manual vacuum aspiration (MVA) has been widely used since the 1990s outside Japan, the use of an MVA device (Women's MVA system) was approved in Japan in October 2015. Here, we examined the efficacy of the MVA kit in women surgically treated for miscarriage. This retrospective cohort study was conducted between 2014 and 2018 at the International University of Health and Welfare Hospital in Japan. Women who underwent surgical treatment for miscarriage within 12 weeks of pregnancy were identified and enrolled in the study. A total of 404 women were included who underwent the following procedures: 121 D&C, 123 electric vacuum aspiration (EVA), and 160 MVA. For each participant, the duration of surgery, amount of bleeding, amount of anesthetic used, incomplete abortion requiring repeat procedures, and intraoperative/postoperative complications were evaluated. The duration of surgery was 13.7 ± 7.2, 11.2 ± 4.2, and 6.9 ± 4.3 min in the D&C, EVA, and ...Continue Reading

References

May 13, 1972·Lancet·H Karman, M Potts
Jun 23, 2000·American Journal of Preventive Medicine·W CatesK F Schulz
Dec 7, 2007·BJOG : an International Journal of Obstetrics and Gynaecology·J WenY P Li
Jul 31, 2012·American Journal of Obstetrics and Gynecology·Yohei KishiFumiaki Taniguchi
Dec 17, 2014·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Atsuko SekiguchiAkihito Nakai
Jan 13, 2015·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Ashley R Gilman BarberMargo R Fluker

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Citations

Jun 2, 2021·The Cochrane Database of Systematic Reviews·Jay GhoshIoannis D Gallos
Sep 28, 2021·The Journal of Obstetrics and Gynaecology Research·Eishin NakamuraUNKNOWN Medical Safety and Education Committee of the Japan Association of Obstetricians and Gynecologists (JAOG), Tokyo, Japan

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