CHAPTER 24

Dilatation and Curettage of the Uterus (D and C)

A dilation and curettage of the uterus (D and C) is performed to treat illness or to obtain a specimen for microscopic evaluation.

A description of the procedure follows:

1. An Auvard speculum is placed to open the posterior wall of the vagina.

2. A Heaney right-angle retractor is placed to elevate the anterior wall of the vagina.

3. A Schroeder tenaculum is placed on the cervix to stabilize the uterus.

4. A Sims uterine sound is inserted to determine the depth of the uterus.

5. Hegar dilators are inserted to dilate the cervix (from the smallest to the largest).

6. A Sims uterine curette is inserted to scrape tissue from the uterus.

7. A Thomas dull curette is used to remove any remaining tissue.

24-1 Left to right: 1 Bard-Parker knife handle #7; 1 Ferris Smith tissue forceps; 1 dressing forceps, long; 1 mayo dissecting scissors, curved; 4 paper drape clips; 2 Backhaus towel forceps; 4 Crile hemostatic forceps, inch; 2 Allis tissue forceps; 1 Randall stone forceps, curve; 1 Bozeman uterine forceps, S-shaped; 2 Schroeder uterine tenaculum forceps, single tooth; 1 Foerster sponge forceps; 1 Crile-Wood needle holder, 7 inch.

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