Kuretase tajam tidak lagi direkomendasikan untuk evakuasi intrauterin, terutama pada kasus abortus. Saat ini, metode aspirasi vakum manual (AVM) lebih dipilih karena lebih aman, efektif, dan terjangkau. Metode kuretase tajam tidak lagi direkomendasikan karena memiliki komplikasi yang tinggi, seperti pendarahan, nyeri, dan sindrom Asherman.[1,2]
Sekilas Mengenai Metode Evakuasi Intrauterin
Metode evakuasi intrauterin dapat digolongkan menjadi intervensi medikamentosa dan pembedahan. Mengingat keterbatasan intervensi medikamentosa, baik dari segi ketersediaan obat ataupun tidak semua kasus dapat ditangani dengan obat-obatan, maka metode pembedahan lebih sering digunakan.[2,3]
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Referensi
1. Kakinuma T, Kakinuma K, et al. Safety and efficacy of manual vacuum suction compared with conventional dilatation and sharp curettage and electric vacuum aspiration in surgical treatment of miscarriage: a randomized controlled trial. BMC Pregnancy Childbirth. 2020;20(1):695.
2. WHO. Department of Reproductive Health and Research, Safe abortion: technical and policy guidance for health systems Second edition. 2012. http://www.who.int/reproductivehealth/publications/unsafe_abortion/9789241548434/en/
3. Ratnam S, Kulasingam S, et al. Manual vacuum aspiration versus expectant management for first trimester miscarriage: A randomize controlld trial. Cureus. 2023;15(9):e45731.
4. Leichombam R, Bawiskar D. Exploring the Safety and Efficacy of Medical Termination of Pregnancy: A Comprehensive Review. Cureus. 2023;15(10):e46444.
5. Choobun T, Khanuengkitkong S, et al. A comparative study of cost of care and duration of management for first-trimester abortion with manual vacuum aspiration (MVA) and sharp curettage. Arch Gynecol Obstet. 2012 Nov;286(5):1161-4.
6. FIGO. Consensus Statement on Uterine Evacuation. 2011. https://www.figo.org/news/figo-consensus-statement-uterine-evacuation
7. Kementerian Kesehatan RI. Pedoman Nasional Asuhan Pasca Keguguran yang Komprehensif. 2020. https://gizikia.kemkes.go.id/assets/file/pedoman/Pedoman%20Nasional%20APK%20Komprehensif.pdf
8. Dkt Womancare. Frequently asked IPAS manual vacuum aspirator technology. 2020. https://dktwomancare.org/pdfresources/ipas_mva_faq.pdf
9. Eckersberger E, Dijkerman S, et al. Examining reuse and replacement procedures for Ipas manual vacuum aspiration and cannulae in nine countries. Int J Gynaecol Obstet. 2023;163(2):651-659.
10. Sekiguchi A, Ikeda T, et al. Safety of induced abortions at less than 12 weeks of pregnancy in Japan. Int J Gynaecol Obstet. 2015;129:54–7.
11. El Ghafar MA. Comparative study of dilatation and curettage, manual and electric vacuum aspiration as methods of treatment of early abortion in Beni Suef, Egypt. International Research Journal of Medicine and Medical Sciences. 2013;1(1):43-50.
12. Adjie JMS, Triyadi EJ. Manual vacuum aspiration versus sharp curettage for incomplete abortion: which one is better?
13. Gilman-Barber AR, Rhone SA, et al. Curettage and Asherman’s syndrome-lessons to (Re-) Learn? J Obstet Gynaecol Can. 2014;36:997-1001.
14. Yayasan IPAS Indonesia. Pembiayaan Layanan Asuhan Pasca Keguguran (APK) di Indonesia. Desember 2020.
15. Sihaloho ED, Habibie I, et al. The cost of post-abortion care (PAC): a systematic review. BMC Health Serv Res. 2022 Mar 25;22(1):391. doi: 10.1186/s12913-022-07765-1. PMID: 35337323; PMCID: PMC8953061.
16. DKT Indonesia. Katalog Produk Rumah Sakit. Ipas MVA plus®. 2023.
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