Gynaecology
ERPC
Evacuation of Retained Products of Conception (ERPC)
This procedure involves the widening of the cervix (the neck of the womb) after which an instrument attached to suction is passed into the uterus (womb). The lining of the uterus and any other tissue that looks abnormal inside the uterus is then removed and may be sent to pathology for tests
The following procedure will be performed:
ERPC
After widening the cervix (the neck of the womb), an instrument attached to suction is passed into the uterus (womb). The lining of the uterus and any other tissue that looks abnormal inside the uterus is then removed and may be sent to pathology for tests.
General Risks Of A Procedure
They include:
(a) Small areas of the lungs may collapse, increasing the risk of chest infection. This may need antibiotics and physiotherapy.
(b) Clots in the legs (deep vein thrombosis or DVT) with pain and swelling. Rarely part of this clot may break off and go to the lungs which can be fatal.
(c) A heart attack because of strain on the heart or a stroke.
(d) A higher risk in obese people. This may cause wound and chest infection, heart and lung problems and blood clots in the veins.
(e) A higher risk in smokers. This may cause wound and chest infections, heart and lung problems and blood clots in
the veins.
(f) Death is a very rare risk.
Risks Of This Procedure
There are some risks/ complications, which include:
• Damage or tearing of the cervix.
• Damage to the uterus due to a perforation and possible bowel damage. This may require further surgery including:
- Possibility of resection of bowel which may include a colostomy.
- There is a small possibility of damage to bladder and blood vessels which could require further surgery. This may
include laparoscopy, laparotomy or hysterectomy, and a longer hospital stay than expected.
- Severe bleeding (haemorrhage) from the uterus. This may need a blood transfusion and only very rarely need
removal of the uterus.
- Infection in the uterus and tubes. This may need antibiotics.
- Removal of the lining of the womb (endometrium) can lead to scarring inside the uterus (womb) and may cause
difficulty with future fertility.
- Incomplete removal of tissue within the uterus is possible, which might require surgery to remove it.
Significant Risks And Relevant Treatment Options
The doctor has explained any significant risks and problems specific to me, and the likely outcomes if complications occur.