TY - JOUR T1 - Comparative Study of Manual Vacuum Aspiration Versus Dilatation Evacuation and Curettage in First Trimester Incomplete Abortion AU - Sarkar, Ananya AU - Karmakar, Kakali JO - Research Journal of Medical Sciences VL - 19 IS - 1 SP - 643 EP - 648 PY - 2025 DA - 2001/08/19 SN - 1815-9346 DO - makrjms.2025.1.643.648 UR - https://makhillpublications.co/view-article.php?doi=makrjms.2025.1.643.648 KW - Process of expulsion KW - manual vacuum aspiration KW - blood loss AB -

Abortion is the process of expulsion of the product of conception before the period of viability of foetus. When the product of conception i.e. embryo or foetus and placenta are expelled partially that is called incomplete abortion. Dilatation evacuation and curettage was the age‐old procedure and most common elective surgical procedure in developed countries. Although the procedure is generally considered to be relatively safe and easy to perform, serious adverse effects may occur. To compare Manual Vacuum Aspiration and Dilatation Evacuation and Curettage in first trimester incomplete abortion in terms of efficacy and safety, complete removal of retained products of conception, duration, amount of blood loss, per‐operative and post‐operative complications including post‐operative pain and duration of hospital stay. This was a prospective randomized controlled trial, study was conducted in Department of Obstetrics and Gynecology, College of Medicine and Sagore Dutta Hospital within a time frame of about 18 months from acceptance of synopsis. The study period was 18 months. 100 patients were included in this study. We found that, more number of patients had bleeding in Dilatation evacuation and curettage as Per‐operative complications [4 (8.0%)], it was statistically significant (p=0.0412). From present study, it was found that no fever, no Foul‐smelling vaginal discharge and no pyometra were seen in both groups, i.e. complete evacuation, found in both groups[50 (100.0%)] in Group‐A and in Group‐B [50 (100.0%)]. In present study, mean period of gestation in weeks was slightly lower in Group‐A [9.0920±.9735] compared to Group‐B [9.6040±1.6025] though it was not statistically significant (p=0.0564). Present study showed that, mean duration of procedure in minutes was significantly higher in Group‐B [15.5000±1.9193] compared to Group‐A [12.1800±1.8482] (p<0.0001).It was found that, mean Hb difference at Preop‐Postop was significantly higher in Group‐B [0.4100±0.2270] compared to Group‐A [0.1980±0.0714] (p<0.0001). Present study showed that, mean Blood Loss was significantly lower in Group‐A [61.9600±9.2073] compared to Group‐B [89.6400±24.9332] (p<0.0001). In present study, difference in post‐operative pain in two groups, in case of incomplete abortion, is statistically significant (P=0.0412), i.e. post‐operative pain was more common in Group B compare to Group A. It was found that, in mean hospital stay in hours was significantly higher in Group‐B [19.3800±3.2757] compared to Group‐A [11.1400±1.6661] (p<0.0001). We concluded that less blood loss, less bleeding, less duration for procedure, less hemoglobin change and less hospital stay were observed in manual vacuum aspiration.

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