Manual Vaccum Aspiration : An alterative to the standard surgical curettage , First experience in Iraq...
Bibliographic record
Abstract
Manual vacuum aspiration ( MVA ) or Karmah Cannula is a soft flexible Cannula invented by Harvey Karman in early 1970s . This can be performed under local anesthesia in the setting of a treatment room and office . The aim of this study: To assess the efficacy of MVA in the management of first trimester early fetal demise , missed abortion up to 13 weeks and incomplete miscarriage, and it if can be used as successful alternative to traditional method of sharp surgical curettage Material and method: This was an interventional prospective study including 200 patients who were scheduled to undergo MVA for 1st trimester early fetal demise and incomplete miscarriage . The study population consist of 200 patients who were diagnosed as having missed abortion by ultrasound abdominal and Trans-vaginal ultrasound. The study conducted between January 2014 – until January 2016 . The efficacy assessed by completion of evacuation evaluated immediately by ultrasound conducted in the same clinic and second look ultrasound after one week of the procedure . Result: Efficacy of the procedure was 99% and incomplete uterine evacuation was seen in 1% of patients . No significant rate of complication like uterine perforation , infection , or excessive vaginal bleeding . More than 99% of cases has a successful procedure and did not required any further surgical or medical treatment 98% of women were satisfied with the procedure and they will recommend it to others . This study proved that MVA is super to the traditional use of D & C with metallic tools by avoidance of hospital stay and general anesthesia and will decrease the daily work load for medical staff. Conclusion : Manual vacuum Aspirator ( MVA ) is safe , effective and minimally invasive procedure with low rate of complication . Moreover , it can be carried our safely and effectively in office or medical clinic and no need for hospital admission , occupying the operating theatre and medical staff involvement. It even cost effective in comparism with surgical dilatation and curettage which is held under general anesthesia in operating theatre of Hospitals . Recommendation: This study may change the traditional use of dilatation and curettage with metallic tools and replaced by MVA with avoiding of general anesthesia and the need for access to the theater
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".