Dilation and Curettage (D and C) - Medical Animation
MEDICAL ANIMATION TRANSCRIPT: Your doctor will perform a dilation and curettage, also known as a D&C, to remove tissue from the inside of your uterus. The uterus is a muscular reproductive organ in your lower abdomen. The lower part of the uterus called the cervix connects the vagina to the uterus. A diagnostic D&C may be performed to investigate the cause of the following conditions. Abnormal or heavy bleeding, severe menstrual pain, difficulty becoming pregnant, or abnormal cells found in a Pap smear. A therapeutic D&C may be performed to treat certain uterine conditions, such as excessive bleeding after birth from remnants of the placenta, cervical or uterine polyps, fibroid tumors which are benign tumors formed on the uterine wall, and incomplete miscarriage or abortion in which parts of the embryo or fetus or associated tissues remain in the uterus. Your doctor may want to begin the dilation process the day before your procedure. If so your doctor will place a softening medication or a thin rod called a laminaria into your cervix. The laminaria slowly expands by absorbing fluid from your causing your cervix to open. During the procedure you will lie on your back with your legs placed in stirrups as you would for a standard pelvic exam. You will receive local or general anesthesia. Your doctor will insert a speculum into your vagina which widens the vaginal canal so the cervix can be seen. During dilation your doctor will insert a series of smooth rods into the cervical opening. Each rod will be replaced with a slightly thicker rod thereby slowly widening or dilating the cervical opening so the inside of the uterus can be accessed. Once the cervix has been expanded to about six to nine millimeters, your doctor may perform a hysteroscopy. A procedure in which a small light and camera are used to examine the inside of the uterus for abnormal areas. Next your doctor will perform curettage which is the surgical removal of part or all of the uterine lining called the endometrium. During curettage a surgical tool called a curette will be inserted to remove tissue by scraping or suction. If you're having a diagnostic D&C, your doctor will remove only a small sample of the endometrium and send it to a lab to test for various conditions. If you're having a therapeutic D&C, your doctor will remove the entire contents of the uterus to treat a known uterine condition. After the procedure you will be monitored in the recovery room for a few hours before you can go home. To prevent infection, do not have sexual intercourse or use tampons for about two weeks or until your doctor says it is safe to do so. Since your uterus will need to generate a new lining, your next menstrual period may not occur at the regular time.
"I thought you might want to know that after we sent a copy of your
illustration to the defendants, with a copy to
the insurance company, they increased their offer by an additional million
dollars and the case was settled for $1,900,000.00.
I appreciate your help!"
O. Fayrell Furr, Jr.
Furr, Henshaw & Ohanesian
Myrtle Beach, SC
"Our firm was able to settle our case at an all day mediation yesterday and
I am confident that the detail and overall appearance of the medical
illustrations significantly contributed to the settlement. When we require
medical illustrations in the future, I will be sure to contact [MLA]."
Noel Turner, III
Burts, Turner, Rhodes & Thompson
"We are extremely pleased with the quality of the medical exhibits and the
timely manner in which they were provided. I will certainly recommend
your company to my business associates who could benefit from your services.
Please tell Brian Wilson [Director of Content Development, Senior Medical
Illustrator] that he did an exceptional job on these exhibits."
Dunaway and Associates
"A few words about The Doe Report: recently in a brachial plexus injury
case, we used an image from The Doe Report to demonstrate the injury. We
downloaded the PDF file image, and were amazed at the quality. The hard
copies that you sent were even more clear. As well, we could not have been
happier when you customized the image and reversed the injury from the left
shoulder to the right shoulder, which is where our client's injury was.
The speed and cost-effectiveness of the product made it the perfect tool for
our purposes. We will use The Doe Report again in future cases."
Needle Gallagher & Ellenberg, P.A.
Medical Legal Art creates medical demonstrative evidence (medical
illustrations, drawings, pictures, graphics, charts, medical animations,
anatomical models, and interactive presentations) for use during legal
proceedings, including research, demand letters, client conferences,
depositions, arbitrations, mediations, settlement conferences, mock jury
trials and for use in the courtroom. We do not provide legal or medical
advice. If you have legal questions, you should find a lawyer with whom you
can discuss your case issues. If you have medical questions, you should seek the advice of a healthcare provider.