A comparative study of the suction and customary curettage methods in the termination of pregnancy
Lueken, R.P.; Gallinat, A.; Lindemann, H.J.
Geburtshilfe und Frauenheilkunde 37(9): 776-780
1977
ISSN/ISBN: 0016-5751 PMID: 914021 Document Number: 111908
Vacuum aspiration and instrumental curettage were compared with respect to completeness of uterine evacuation in 90 women. 54 patients had vacuum aspiration, 36 had curettage. Hysteroscopy using CO2 showed that the aspiration patients had less intrauterine bleeding, and pregnancy-related tissue was observed in only 6 of these patients. In the curettage patients, residual tissue was seen in 32 cases, and follow-up curettage or removal of remaining tissue was performed in 20 patients. No complications were observed in either group. Techniques and advantages of aspiration are discussed. It is clear that the suction method is to be preferred and if handled properly, curettage is unnecessary following suction.