[Manual vacuum aspiration uterine treatment of incomplete abortion to 12 gestational weeks: an alternative to curettage].
OBJECTIVE
To analyze the effectiveness and occurrence of complications, in addition to hospitalization time and blood losses.


METHODS
Thirty patients were assigned alternatively and consecutively to one of two groups (15 to the Curettage Group and 15 to the Manual Vacuum Aspiration Group). The following variables were analyzed: effectiveness of the method, occurrence of complications, time before the procedure, time of execution of the procedure, time after the procedure, and total time of hospital permanence, in addition to hematocrit and hemoglobin, which were measured before and after the procedure. Patients were evaluated clinically 10 to 14 days after the procedure. Parametric and nonparametric tests were used for statistical analysis, with the level of significance set at p>0.05.


RESULTS
Both methods were efficient and no complications were recorded. Blood losses were similar in the two groups, but the hospitalization time was significantly shorter for the Manual Vacuum Aspiration Group (p=0.03).


CONCLUSIONS
Manual vacuum aspiration is as efficient and safe as uterine curettage, with the advantage of requiring shorter hospitalization, which increases the resolution of the method, improving the quality of care for these patients.
Médico Ginecologista e Obstetra, Universidade Federal de Santa Maria, Santa Maria, RS, Brasil.
Marcio Pedroso
MP
Saciloto
Cristine Kolling
CK
Konopka
Maria Teresa de Campos
MT
Velho
Flávio Cabreira
FC
Jobim
Elaine Verena
EV
Resener
Raquel Rodrigues
RR
Muradás
Panait Kosmos
PK
Nicolaou
D000027:Abortion, Incomplete / Q000601:surgery*; D000328:Adult; D003475:Curettage; D005260:Female; D006801:Humans; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D011446:Prospective Studies; D014620:Vacuum Extraction, Obstetrical