Manual and Electric Vacuum Aspiration of Molar Pregnancies: Essentially Equivalent

Manual aspiration was associated with fewer intrauterine adhesions, but other outcomes did not vary significantly with suction method.

Molar pregnancies are typically managed with vacuum aspiration, and in countries with limited access to electric aspiration, manual aspiration is the more common method. To compare the two approaches, Brazilian investigators conducted a retrospective cohort study including 1727 women with molar pregnancies who underwent electric or manual vacuum aspiration. After aspiration of either type, gentle sharp curettage was performed to ensure complete uterine evacuation (incomplete evacuation was determined with clinical, hormonal, ultrasonographic, and, if necessary, hysteroscopic criteria).

Uterine evacuation was incomplete in 13% of women, regardless of whether aspiration was electrically or manually performed. Intrauterine adhesions developed i…

Reviewing Author

Robert W. Rebar, MD

Disclosures

Consultant/Advisory BoardMyovant Sciences, Inc.

Editorial BoardsEndoText; Clinical OB/GYN Alert

Leadership Positions in Professional SocietiesAmerican Society for Reproductive Medicine (Member, Ethics Committee)

Robert W. Rebar, MD

Disclosures

Consultant/Advisory BoardMyovant Sciences, Inc.

Editorial BoardsEndoText; Clinical OB/GYN Alert

Leadership Positions in Professional SocietiesAmerican Society for Reproductive Medicine (Member, Ethics Committee)

Manual and Electric Vacuum Aspiration of Molar Pregnancies: Essentially Equivalent

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Reviewing Author