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Objectives:To examined the diagnostic value of dilatation and curettage (D&C) in patients with abnormal uterine bleeding (AUB) by conducting a histopathological examination of endometrial tissues by D&C and hysterectomy.Methods:In this retrospective study, the medical records of 163 women who had been hospitalized in the Obstetrics and Gynecology Ward, Amir-al-Momenin Hospital, Semnan, Iran between 2010 and 2015 for diagnostic curettage due to AUB and who had undergone hysterectomy were investigated. The patients’ characteristics and histopathologic results of curettage and hysterectomy were extracted, and sensitivity and specificity and positive and negative predictive values of curettage were calculated.Results:The mean ± standard deviation age of the patients was 49.8±7.8 years. The sensitivity values of D&C in the diagnosis of endometrial pathologies was 49.1%, specificity 84.5%, positive 60.5%, and negative predictive 77.5%. The sensitivities of D&C in the diagnosis of various endometrial hyperplasia was 62.5%, disordered proliferative endometrium 36.8%, and endometrial cancer 83.3%. Of 6 patients with endometrial polyps on performing hysterectomy, no patient was diagnosed by curettage.Conclusions:Dilatation and curettage has acceptable sensitivity in the diagnosis of endometrial cancer, low sensitivity in the diagnosis of endometrial hyperplasia, and very low sensitivity in the diagnosis of disordered proliferative endometrium and endometrial polyps.

Background: Cesarean section is one of the most common surgeries around the world. There are several different techniques for cesarean section. The most common techniques are Pfannenstiel-Kerr (PK) and the newer technique Misgav-Ladach (ML). The objective of this trial was to compare intraoperative and short-term postoperative outcomes between the Pfannenstiel-Kerr and the modified Misgav-Ladach techniques in primary cesarean deliveries. Methods: In a prospective controlled trial, 100 females were randomly assigned to the PK (n = 50) and ML (n = 50) groups. The two groups were compared in terms of duration of surgery and fetus delivery, blood transfusion, febrile morbidity, analgesic use, changes of hematocrit level, bowel transition time, wound infection /dehiscence and neonate five-minute Apgar score. Results: The duration of surgery and fetus delivery was significantly lower in ML than PK technique (P = 0.000). Analgesic use during the post-operative period was significantly lower in ML than PK (P < 0.001). There were no significant statistical differences between the groups in regards to drop of the hematocrit (P = 0.32), fever (P = 0.056) and bowel transit time (P = 1.000). The mean Apgar score of fifth minute was 8.80 ± 0.57 and 9.89 ± 0.42 in PK and ML groups, respectively (P < 0.001). Conclusions: Misgav-Ladach appears to be faster, requires shorter incision and less analgesic drugs than PK, which might lead to better postoperative outcomes.

The result of this study showed that previous tubal sterilization is not a risk factor for undergoing hysterectomy because of abnormal uterine bleeding.