Manual Vacuum Aspiration (MVA): The Cheaper Way

Objective: To determine the safety and efficacy of S2Q Improvised Manual Vacuum Aspiration (MVA). Methodology: This prospective descriptive study was conducted in the department of obstetrics &gynecology at C.M.H. Lahore and PNS Shifa Hospital, Karachi, Pakistan from May2012 to Apr 2013.Total 150 Patients underwent the MVA procedure; 50 for diagnostic endometrial sampling and 100 for therapeutic pregnancy related indications. The patients with molar pregnancy and structural uterine malformations were excluded from the study. The S2Q MVA set was prepared out of common surgical disposable equipment consisting of a big nosel 60cc syringe, nelaton tube, and a holding plunger. Data were analyzed using MS excel. Results: MVA for abortion and retained products of conception (RPOCs) related indications with had an efficacy of 99% while patients with heavy menstrual bleeding (HMB) and post menopausal bleeding (PMB) had an efficacy of 98%. Conclusion: S2Q MVA was an effective and much cheaper alternative to the commercially available expensive MVA kits.