Name of the Procedure:

Vabra Aspirator (HCPCS Code: A4480)

Summary

The Vabra Aspirator is a medical procedure used to collect samples of the endometrial lining (the inside layer of the uterus) using a specialized suction device. This procedure is typically performed to diagnose or rule out conditions affecting the uterus.

Purpose

The main purpose of the Vabra Aspirator procedure is to diagnose abnormalities in the endometrial lining such as hyperplasia, cancer, or other uterine conditions. It helps in determining the cause of abnormal uterine bleeding or other related symptoms.

Indications

• Abnormal uterine bleeding
• Postmenopausal bleeding
• Infertility investigations
• Suspected endometrial cancer
• Monitoring for endometrial hyperplasia

Preparation

• Patients may be advised to fast for a few hours before the procedure.
• Certain medications might need to be adjusted or paused.
• A pelvic examination or ultrasound might be performed beforehand.
• Consent should be obtained after discussing the procedure, risks, and benefits.

Procedure Description

1. The patient is positioned similarly to a gynecological exam.
2. A speculum is inserted to visualize the cervix.
3. Local anesthesia may be applied to numb the cervix.
4. The Vabra aspirator, a suction device, is gently inserted through the cervix into the uterine cavity.
5. Suction is applied to collect a sample of the endometrial tissue.
6. The device is withdrawn, and the sample is sent for laboratory analysis.

Duration

The procedure typically takes 10-15 minutes.

Setting

The Vabra Aspirator procedure is usually performed in an outpatient clinic or a gynecologist's office.

Personnel

• Gynecologist
• Nurse or medical assistant

Risks and Complications

• Mild cramping or discomfort
• Spotting or light bleeding
• Infection (rare)
• Uterine perforation (very rare)
• Vasovagal reaction causing dizziness or fainting

Benefits

• Minimally invasive way to obtain endometrial tissue for diagnosis
• Quick procedure with immediate ability to return to normal activities
• Helps in early detection of serious conditions like cancer

Recovery

• Mild cramping or spotting may occur for a day or two.
• Over-the-counter pain relief may be advised for discomfort.
• Patients can typically return to normal activities immediately.
• Follow-up appointments may be scheduled to discuss results and next steps.

Alternatives

• Endometrial biopsy
  • More targeted, but may be painful
• Hysteroscopy
  • Provides direct visualization but is more invasive and costly
• Dilation and Curettage (D&C)
  • More comprehensive sampling but requires anesthesia and longer recovery

Patient Experience

During the procedure, patients might feel some cramping similar to menstrual pain. Post-procedure discomfort is usually minimal and can be managed with pain relief medications. Most patients can resume their normal activities soon after the procedure, with minor restrictions as advised by their healthcare provider.