What to do if there is a suction leak during abortion

Some complications may occur during artificial abortion, such as incomplete uterine aspiration, missed aspiration, intraoperative bleeding, etc. The relevant treatment methods for missed aspiration are as follows:

The occurrence of missed aspiration is mainly due to the small embryonic sac, excessive uterine curvature or uterine malformation, so corresponding protection should be taken for the above reasons. For women who undergo abortion, their medical history should be asked in detail first to accurately calculate the time of conception; for those with irregular menstruation, B-ultrasound examination is required (about 5 weeks after menstruation, when a small embryonic sac can be seen under B-ultrasound, missed aspiration is likely to occur). When the embryonic sac is clearly visible under B-ultrasound after 6 weeks after menstruation, it is more appropriate to perform surgery. Surgery under ultrasound guidance can shorten the operation time, reduce the patient's pain, and reduce the incidence of related complications.

At the same time, B-ultrasound can also clearly diagnose the curvature of the uterus and various uterine malformations, which can guide surgery. For patients with uterine curvature, the curvature of the uterus should be corrected as much as possible through relevant positions or methods during surgery; when the aspirate is too little, especially when no embryonic sac is seen, the position, size and shape of the uterus should be reviewed, and the uterine cavity should be re-explored to find and solve problems in time; the aspirated tissue should be sent for pathological examination in time. If no villi or embryonic tissue is still seen, in addition to considering missed aspiration, the possibility of ectopic pregnancy should also be ruled out. If it is indeed missed aspiration, negative pressure aspiration should be performed again; patients with malformed uterus, excessive uterine curvature that is difficult to change, or patients with a history of uterine surgery can use medical abortion to reduce the occurrence of missed aspiration and secondary injuries.