Dilation and Curettage (D&C) is a brief surgical procedure in which the cervix is dilated and a special instrument is used to scrape the uterine lining.
Why is Dilation and Curettage (D&C) done?
You may need a D&C or Dilation and curettage for:
Remove tissue in the uterus during or after a miscarriage or abortion ot to remove small pieces of placenta after childbirth. This helps to prevent infection or heavy bleeding.
Diagnose or treat abnormal uterine bleeding. D&C may help diagnose or treat growths such as fibroids, polyps, or endometriosis, hormonal imbalance, or uterine cancer. A sample of uterine tissue is viewed under a microscope to check for abnormal cells.
What to expect when having a D&C?
You can have a D&C in your doctor’s chamber, or hospital. Before a D&C, you will have a complete history taken and sign a consent form. Ask your doctor any questions you have about the D&C. Always be sure to tell the doctor if:
You suspect you are pregnant
You are sensitive or allergic to any medications
You have a history of bleeding disorders or are taking any blood-thinning drugs.
You will receive anaesthesia. The type of anaesthesia you will receive depends on the procedure you need.
If you have general anaesthesia, you will not be awake during the procedure.
If you have spinal or epidural (regional or local) anaesthesia, you will not have feeling from your waist down.
Before the D&C, you may need to remove clothing and put on a gown, and empty your bladder.
What happens during a D&C?
You lie on your back and place your legs in stirrups like during a pelvic exam. Then the doctor inserts a speculum into the vagina and holds the cervix in place with a clamp. Although the D&C involves no stitches or cuts, the doctor cleanses the cervix with an antiseptic solution.
A D&C procedure includes 2 main steps:
Dilation: involves widening the opening of the lower part of the uterus (cervix) to allow insertion of an instrument. The doctor may insert a slender rod known as laminaria into the opening to gradually cause it to widen. Or medication may soften the cervix to help it widen.
Curettage: involves a scraping the lining and removing uterine contenets with a long, spoon-shaped instrument known as curette. The doctor may also use a cannula to suction any remaining contents from the uterus. This can cause some cramping,. In many cases, a tissue sample goes to a lab for examination.
What happens after a D&C procedure?
After a D&C procedure patient may experience cramping and spotting or light bleeding. Don’t panic and contact your doctor without delay about such conditions.
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Why Patients like DESUN?
Rated as one of India’s best hospitals
a) For excellence in quality of medical treatment and hospital services DESUN is the youngest hospital in India to get the prestigious National Accreditation Board for Hospitals (NABH) accreditation from Government of India. World over NABH is considered equivalent to JCAHO (Joint Commission for American Healthcare Organizations) or JCI (Joint Commission International) - the standards followed in US for hospital accreditation. Of more than 1000 hospitals in India who have applied for NABH even after 6 years not even 100 hospitals have been able to achieve the high quality standard required to get NABH accreditation. In the lead story of November 2011 issue of National News Magazine THE WEEK “India’s Best Hospitals” were covered based on an All India Survey. DESUN Hospital was included in this prestigious list of “India’s Best Hospitals”.
For excellence in quality of routine and Superspecialty pathology testing DESUN Pathology lab has also received the prestigious accreditation from the National Accreditation Board for Laboratories (NABL). In Eastern India only DESUN pathology lab has in-house facilities to perform superspecialty pathology tests like PCR, Flow Cytometry, etc. This benefits DESUN’s patients tremendously and there is practically no waiting time for getting test results when compared to other hospitals in Kolkata who have to send these tests to Mumbai or Delhi and wait for 3 / 4 days for get test results. Thus there is no delay in diagnosis and therefore, prompt and accurate treatment for DESUN’s patients.
Ranked on Top by both West Bengal and Central Government
There are only 7 hospitals in West Bengal considered by West Bengal Government as “Class 1 Hospital Service Providers” under the West Bengal Health Scheme – WBHS. DESUN is the first name in this list.
There are more than 100 hospitals in Eastern India empanelled by Central Government under Central Government Health Scheme – CGHS. Of these 100 only 2 hospitals have been able to qualify the high standards and have, therefore, been able to achieve the status of “Superspecialty Hospital” by CGHS. DESUN is one of the 2 Superspecialty hospitals categorized by CGHS.
Safest Hospital For Any Operation
2 of the major fears any surgeon has before any operation is that of OT infection and cardiac, heart complications during or after the operation. If OT infections occur or the patient develops cardiac problems even the best surgeon cannot help you. DESUN is the only hospital in Kolkata having STEEL OPERATION THEATERS (Steel OTs) which drastically reduces chances of OT infection. After the surgery the patient is under the best care of doctors and nurses in the post operative phase at DESUN. Also DESUN has the largest Heart Institute in Kolkata to handle any cardiac emergencies during or after the operation.
Specialist Doctors’ Round The Clock
With 28 medical departments having in-house specialist doctors any problem during your stay at DESUN can be handled by this specialist doctors’ team 24 hours. You may be admitted for a particular surgery but in the event there are some problems which a specialist needs doctor of another department it is available immediately in-house at DESUN. This facility is often not available at other renowned hospitals.