| What is a limitation of the D&C procedure? | D&C is a blind procedure and may miss the pathology in some cases | D&C is a blind procedure and may miss the pathology in some cases. In cases where focal pathology is suspected, tissue should be obtained under hysteroscopic visualization. Abnormal uterine bleeding in appropriate cases (refer to HMB STW) | 0 | summary | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1768382529_updateddc.pdf | D&C is a blind procedure and may miss the pathology in some cases. | 1 | page=1,block=9 | 0.700 | valid |
| What are patients advised to report back for after a D&C procedure? | severe pain, bleeding, foul smelling discharge or fever | • Observe the patient for minimum two hours after the procedure for haemorrhage or any other symptoms or signs of complications prior to discharge • Patient can be discharged as soon as she is comfortable and alert • Most common side effect is abdominal cramps which can be managed by oral analgesics • Warning signals to report back are to be explained at the time of discharge - severe pain, bleeding, foul smelling discharge or fever • Follow up is done after a week with histopathology report for further advice. | 381 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1768382529_updateddc.pdf | • Observe the patient for minimum two hours after the procedure for haemorrhage or any other symptoms or signs of complications prior to discharge • Patient can be discharged as soon as she is comfortable and alert • Most common side effect is abdominal cramps which can be managed by oral analgesics • Warning signals to report back are to be explained at the time of discharge - severe pain, bleeding, foul smelling discharge or fever • Follow up is done after a week with histopathology report for further advice. | 1 |
| What facilities are recommended to handle complications during a dilatation and curettage procedure? | facilities for anaesthesia and operation theatre | Standard Treatment Workflow (STW) for DILATATION AND CURETTAGE (D&C) • Mostly done for gynaecological indications, but may also be considered in early pregnancy complications • traditional D&C in gynaecological cases, it still has a place when other modalities are not available or do not yield adequate tissue WHERE CAN IT BE PERFORMED? • In secondary or tertiary healthcare centres preferably where facilities for anaesthesia and operation theatre are available to deal with procedure related complications, if any. • Endometrial aspiration biopsy is usually done as an outpatient procedure in non pregnant cases. Acute pelvic and vaginal infections | 401 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1768382529_updateddc.pdf | Standard Treatment Workflow (STW) for DILATATION AND CURETTAGE (D&C) • Mostly done for gynaecological indications, but may also be considered in early pregnancy complications • traditional D&C in gynaecological cases, it still has a place when other modalities are not available or do not yield adequate tissue WHERE CAN IT BE PERFORMED? • In secondary or tertiary healthcare centres preferably where facilities for anaesthesia and operation theatre are available to deal with procedure related complications, if any. |
| What is one of the complications that can occur during a D&C procedure? | Excessive bleeding | COMPLICATIONS • Excessive bleeding • Cervical laceration • Perforation of the uterus • Injury to bowel and bladder • Pelvic infection • Post-operative intra uterine adhesions DO’S • Evacuation of urinary bladder before procedure. • Safety checklist • Dorsal/lithotomy position • Bimanual pelvic examination prior to the procedure • Sounding to measure uterocervical length ONLY in non pregnant women. • Sample to be sent for histopathology and microbiology (where indicated) • REFER in case of a complication DONT’S • Over abduction of legs • No sounding in cases of pregnant uterus. • No forceful insertion of any instrument • Abandon the procedure in case of suspected perforation and refer to higher centre. • Insertion of the dilator should be just beyond the internal os and NOT till the fundus sampling | 16 | list | 0.740 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1768382529_updateddc.pdf | COMPLICATIONS • Excessive bleeding • Cervical laceration • Perforation of the uterus • Injury to bowel and bladder • Pelvic infection • Post-operative intra uterine adhesions DO’S • Evacuation of urinary bladder before procedure. | 1 | page=1,block=37 |
| What is recommended when focal pathology is suspected during a D&C procedure? | tissue should be obtained under hysteroscopic visualization | D&C is a blind procedure and may miss the pathology in some cases. In cases where focal pathology is suspected, tissue should be obtained under hysteroscopic visualization. Abnormal uterine bleeding in appropriate cases (refer to HMB STW) | 112 | factual | 0.570 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1768382529_updateddc.pdf | In cases where focal pathology is suspected, tissue should be obtained under hysteroscopic visualization. | 1 | page=1,block=9 | 0.700 | valid |
| What should be done if focal pathology is suspected during a D&C procedure? | tissue should be obtained under hysteroscopic visualization | D&C is a blind procedure and may miss the pathology in some cases. In cases where focal pathology is suspected, tissue should be obtained under hysteroscopic visualization. Abnormal uterine bleeding in appropriate cases (refer to HMB STW) | 112 | factual | 0.570 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1768382529_updateddc.pdf | In cases where focal pathology is suspected, tissue should be obtained under hysteroscopic visualization. | 1 | page=1,block=9 | 0.700 | valid |
| Where is dilatation and curettage preferably performed? | In secondary or tertiary healthcare centres preferably where facilities for anaesthesia and operation theatre are available to deal with procedure related complications, if any. | Standard Treatment Workflow (STW) for DILATATION AND CURETTAGE (D&C) • Mostly done for gynaecological indications, but may also be considered in early pregnancy complications • traditional D&C in gynaecological cases, it still has a place when other modalities are not available or do not yield adequate tissue WHERE CAN IT BE PERFORMED? • In secondary or tertiary healthcare centres preferably where facilities for anaesthesia and operation theatre are available to deal with procedure related complications, if any. • Endometrial aspiration biopsy is usually done as an outpatient procedure in non pregnant cases. Acute pelvic and vaginal infections | 340 | factual | 0.530 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1768382529_updateddc.pdf | Standard Treatment Workflow (STW) for DILATATION AND CURETTAGE (D&C) • Mostly done for gynaecological indications, but may also be considered in early pregnancy complications • traditional D&C in gynaecological cases, it still has a place when other modalities are not available or do not yield adequate tissue WHERE CAN IT BE PERFORMED? • In secondary or tertiary healthcare centres preferably where facilities for anaesthesia and operation theatre are available to deal with procedure related complications, if any. • Endometrial aspiration biopsy is usually done as an outpatient procedure in non |
| What is endometrial aspiration biopsy usually done as in non-pregnant cases? | an outpatient procedure | Standard Treatment Workflow (STW) for DILATATION AND CURETTAGE (D&C) • Mostly done for gynaecological indications, but may also be considered in early pregnancy complications • traditional D&C in gynaecological cases, it still has a place when other modalities are not available or do not yield adequate tissue WHERE CAN IT BE PERFORMED? • In secondary or tertiary healthcare centres preferably where facilities for anaesthesia and operation theatre are available to deal with procedure related complications, if any. • Endometrial aspiration biopsy is usually done as an outpatient procedure in non pregnant cases. Acute pelvic and vaginal infections | 569 | factual | 0.490 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1768382529_updateddc.pdf | • Endometrial aspiration biopsy is usually done as an outpatient procedure in non pregnant cases. | 1 | page=1,block=0 | 0.700 | valid |
| What position is recommended for a D&C procedure? | Dorsal/lithotomy position | COMPLICATIONS • Excessive bleeding • Cervical laceration • Perforation of the uterus • Injury to bowel and bladder • Pelvic infection • Post-operative intra uterine adhesions DO’S • Evacuation of urinary bladder before procedure. • Safety checklist • Dorsal/lithotomy position • Bimanual pelvic examination prior to the procedure • Sounding to measure uterocervical length ONLY in non pregnant women. • Sample to be sent for histopathology and microbiology (where indicated) • REFER in case of a complication DONT’S • Over abduction of legs • No sounding in cases of pregnant uterus. • No forceful insertion of any instrument • Abandon the procedure in case of suspected perforation and refer to higher centre. • Insertion of the dilator should be just beyond the internal os and NOT till the fundus sampling | 251 | factual | 0.490 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1768382529_updateddc.pdf | • Safety checklist • Dorsal/lithotomy position • Bimanual pelvic examination prior to the procedure • Sounding to measure uterocervical length ONLY in non pregnant women. | 1 | page=1,block=37 | 0.700 |