MANUAL VACUUM ASPIRATOR (MVA)- A SAFE AND EFFECTIVE ALTERNATIVE TO CONVENTIONAL CURETTAGE IN THE SURGICAL MANAGEMENT OF 1ST TRIMESTER MISCARRIAGES

Naheed Akhtar, Madiha Iqbal, Talat Naz
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Abstract

Objective: To compare the efficacy of manual vacuum aspiration and conventional evacuation & curettage (ENC) for first-trimester miscarriage management. Materials and Methods: This quasi-experimental study was carried out at the Department of Gynecology and Obstetrics, Khyber Teaching Hospital, Peshawar, Pakistan from October 2022 to March 2023 including 150 patients with first trimester miscarriage dividing them into two groups (MVA and ENC) having equal number of patients. Efficacy in both groups was compared. Results: The mean age in the MVA group (group A) was 27.81±6.31years while in the ENC group (group B) it was 26.50±6.27 years. The mean gestational age in group A was 5.82±2.82 weeks while in group B it was 5.95±2.9 weeks. MVA was effective in 88% of participants while ENC was effective in 93.33% of participants (p-value, 261), which is not statistically significant. Conclusion: Surgical uterine evacuation utilizing MVA under local anesthetic is safe and successful, and it should be considered to minimize a lengthy hospital stay. MVA can be a viable alternative to surgical curettage like ENC. It is safe, cost-effective, and simple to conduct, eliminating general anesthetic, the requirement for theatre access, and an unnecessary hospital stay. Keywords: Manual Vacuum Aspiration, Evacuation, Curettage, miscarriage, efficacy.
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手动真空吸引器(mva)-一种安全有效的替代传统刮宫手术治疗早期妊娠流产
目的:比较人工真空抽吸与常规抽吸的疗效;子宫刮宫术(ENC)用于早期妊娠流产管理。材料与方法:本准实验研究于2022年10月至2023年3月在巴基斯坦白沙瓦开伯尔教学医院妇产科进行,纳入150例早期妊娠流产患者,将其分为两组(MVA组和ENC组),两组患者人数相等。比较两组疗效。结果:MVA组(A组)平均年龄27.81±6.31岁,ENC组(B组)平均年龄26.50±6.27岁。A组平均胎龄5.82±2.82周,B组平均胎龄5.95±2.9周。MVA有效率为88%,ENC有效率为93.33% (p值261),差异无统计学意义。结论:局麻下应用MVA手术子宫引流是安全成功的,应考虑尽量减少住院时间。MVA可以作为ENC等手术刮除的可行替代方案,它安全、经济、操作简单,无需全身麻醉,无需进入手术室,也无需住院。关键词:手动真空抽吸,抽吸,刮宫,流产,疗效。
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