Special Surgical Procedures II
LESSON 2: Procedures in Gynecological and Obstetrical Surgery
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2-24. DILATATION OF THE CERVIX AND CURETTAGE
a. General. The dilatation of the cervix and curettage (D AND C) operation involves the introduction of instruments through the vagina into the cervical canal and then into the uterus and, in some cases, removal of substances and blood. It is done either for diagnostic purposes or as a form of therapy for a variety of pelvic conditions such as incomplete abortion, abnormal uterine bleeding, or primary dysmenorrhea. A D and C may be performed when carcinoma of the endometrium is suspected, in the study of infertility, or prior to amputation of the cervix or an operation for prolapse of the uterus.
b. Operative Procedure.
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