Dilation and Evacuation

 

Preop Diagnosis:  @age@ yo @gp@ presenting with ***, desires surgical management

Post op diagnosis: Same

Procedure: Dilation and Evacuation

Surgeon: ***

Assistant: ***

Anesthesia: ***

Complications: ***

IVF: ***

EBL: ***

UOP: ***

Findings: ***-week size anteverted uterus, normal adnexae

Specimen: Products of conception

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Indication: @age@ yo @gp@ who presents with *** who desires surgical management. She was consented as to the risks/benefits/indications of a surgical procedure vs medical management vs expectant management.

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Procedure: The patient was taken to the operating room where intermittent compression devices were placed on her calves and she was given IV sedation. She was then placed in the dorsal lithotomy position and prepped and draped in the usual sterile fashion. A safety timeout procedure was then performed. The patient was examined under anesthesia with findings as noted above. A sterile speculum was placed in the patient’s vagina, and a single tooth tenaculum was used to grasp the anterior lip of the cervix. ***5cc of 1% lidocaine was injected at the 4 o’clock and 7 o’clock position to produce a para-cervical block.

 

The cervix was carefully serially dilated to accommodate a #*** curved suction curette. The suction curette was carefully advanced to the uterine fundus and the suction was activated. The curette was rotated to clear the uterus of the products of conception. ***A gentle curettage was then performed until good cry was noted in all four quadrants. There was minimal bleeding noted and the tenaculum was removed with good hemostasis noted at the site. All instruments were then removed from the vagina. 

 

Pt tolerated the procedure well and went to the recovery room in stable condition.