A diagram of a<unk>  abortion procedure at eight weeks gestation.1: Amniotic sac2: Embryo3: Uterine lining4: Speculum5:<unk> curette6: Attached to a suction pump Figure I is before<unk>  of amniotic sac and embryo, and Figure II is after<unk>  with the instrument still inside the uterus.<unk>  is an outpatient procedure that generally involves a clinic visit of several hours. The procedure itself typically takes less than 15 minutes. Depending on the state of residence and local laws, 2 appointments and<unk> rious other proceedings may be required if the<unk>  is being used for therapeutic abortion. There are 2 options on the source of suction in the use of these procedures. Suction can be created with either an electric pump (electric<unk>  or EVA) or a manual pump (manual<unk>  or MVA). A hand-held 25cc or 50cc syringe can function as a manual pump. Both of these methods can create the same level of suction, and therefore can be considered equivalent in terms of efficacy of treatment and safety. The difference in use primarily comes down to provider preference. The clinician places a speculum into the<unk> gina in order to visualize the cervix. The cervix is cleansed, then a local anesthetic (usually lidocaine) is injected in the form of a para-cervical block or intra-cervical injection into the cervix. The clinician may use instruments called "dilators" in incrementally larger sizes to gently open the cervix, or sometimes medically induce cervical dilation with drugs or osmotic dilators administered before the procedure. Finally, a sterile cannula is inserted into the uterus. The cannula may be attached via tubing to the pump if using an electric<unk> cuum, or attached directly to a syringe if using a manual<unk> cuum aspirator. The pump creates a<unk> cuum and suction which empties uterine contents, which either enter a canister or the syringe. After a procedure for abortion or miscarriage treatment, the tissue removed from the uterus is examined for completeness to ensure that no products of conception are left behind. Expected contents include the embryo or fetus, as well as the decidua, chorionic villi, amniotic fluid, amniotic membrane and other tissues. These are all tissues which are found in a normal pregnancy. In the case of a molar pregnancy, these components will not be found. Post-treatment care includes brief observation in a recovery area and a follow-up appointment approximately two weeks later. During these visits, it is possible that the provider may perform tests to check for infection, as retained tissue in the uterus can be a source of infection. Additional medications used in<unk>  include NSAID analgesics that may be started the day before the procedure, as well as misoprostol the day before for cervical ripening which makes dilation of the cervix easier to perform. Procedural sedation and analgesia may be offered to the patient in order to avoid discomfort.
Vacuum aspiration
Helmet removal 
Antiseptic lavage
Suction
Suction 
Vacuolization
Freeze spray
Terminal cleaning