Manual vacuum aspiration: a safe and cost-effective substitute of electric vacuum aspiration for the surgical management of XXXX .

@entity1 @entity13094 @entity190 @entity8425 @entity2099 @entity158 @entity393
OBJECTIVE: To compare the efficacy, safety and cost-effectiveness of Manual vacuum aspiration ( @entity13094 ) with @entity8425 ( @entity8425 ) in the management of first trimester @entity393 . METHODS: A single-centre randomized controlled trial (RCT) was conducted at Maternal and @entity1 Health Centre (MCHC), Unit-I, Pakistan Institute of Medical Sciences (PIMS), Islamabad from April 2007-Dec 2008. A total of 176 cases with @entity393 at < 12 weeks gestation, with a diagnosis of @entity2099 , incomplete, missed or septic induced abortion and molar pregnancy were randomly allocated to either @entity13094 or @entity8425 in the operation theatre. RESULTS: A total of 176 @entity1 were included out of which 70 underwent @entity8425 and 106 had @entity13094 . Baseline characteristics were similar in the two groups except significantly higher gestational age and gestational sac diameter in @entity13094 group. Majority of @entity8425 were performed under general anaesthesia (95.7%) while majority of @entity13094 were performed under paracervical block (60.3%). Complete evacuation was achieved in 89.6% with @entity13094 vs 91.4% with @entity8425 (p=0.691). @entity13094 was superior in terms of significantly less @entity190 (62.08 +/- 32.19 vs 75.71 +/- 35.53; p=0.008), shorter hospital stay (12.26 hours +/- 6.97 vs 19.54 hours +/- 7.95; p=0.000) and less hospital cost (Rs 1419.5 +/- 1337.620 vs Rs. 3222.5 +/- 1816.02; p=0.000). Post-operative @entity158 assessment by visual analogue score (VAS) at 0 and 6 hours showed no significant difference (p=0.845 and p=0.157 respectively). The only complication was uterine perforation in 2 (2.4%) cases both belonging to @entity8425 . CONCLUSION: @entity13094 is a safe and effective alternative of conventional @entity8425 . It is superior to @entity8425 in terms of reduced cost and need for general anaesthesia and is thus useful at low resource setting with scarcity of electricity and general anaesthesia.
