Manual vaccum aspiration, surgical technique

mannual vaccum aspiration

1. Manual vaccum aspiration By Dr Sidra Rasool

2. Definition; It is surgical method of choice used to evacuate the uterine contents before 12 weeks of pregnancy by using hand-held device by creating a negative pressure/ vaccum . INDICATIONS OF THE SUCTION AND EVACUATION/MVA : 1)induced abortion 2 ) incomplete miscarriage 3 ) missed miscarriage 4) molar pregnancy 5 ) endometrial biopsy CONTRAINDICATIONS 1 ) endometrial biopsy in case of suspected pregnancy

3. BENEFITS OF USE 1) highly safe and cost-effective 2)easy to use and learn 3 ) easily available 4 ) less bleeding and pain 5 ) shorter hospital stay 6)less anaesthesia complications 7 ) no electricity needed 8 ) less chances of perforation and asherman syndrome 9 ) minimal trauma to uterus and cervix

4. PARTS OF MVA IPAS ASPIRATOR(IT HAS THREE PASRTS ) VALVE CYLINDER PLUNGER IPAS CANNULA COMES IN DIFFERENT SIZES FROM 3MM TO 12MM (EXCEPT 11MM) 4-6WKS (4-7MM CANNULA) 7-9WKS(5-10MM CANNULA) 9-10WEEKS ( 8-12 WKS CANNULA) ENDOMETRIAL BIOPSY 3MM CANNULA)

5. PARTS OF MVA

6. PARTS OF MVA

7. PROCEDURE 1) prepare the instrument. 2 ) preparation of patient : counselling of woman and consent woman should empty her bladder do bimanual and per speculam examination give adequate pain relief and give antibiotics 1hour before the procedure cervical priming: if need should be done 3-4 hrs prior to procedure ( tab misoprostol 400microgram p/v or sublingually