Dilatation and curettage

Abstract

Dilatation and curettage has changed from one of the most frequently used to one of the least frequently used procedures in gynecology. It is a useful diagnostic tool for detecting endometrial cancer but its therapeutic value in controlling uterine hemorrhage is limited. Complications relate to dilatation of the cervix. Under local anesthesia Vabra curettage supplemented by hysteroscopy is the most attractive alternative to D & C.