Veress J. Neues Instrument sur Ausfuhrung von ... - Dr Philip Thomas
Veress J. Neues Instrument sur Ausfuhrung von ... - Dr Philip Thomas Veress J. Neues Instrument sur Ausfuhrung von ... - Dr Philip Thomas
Equipment (cont) � Diagnostic sheath � 5mm diameter/ 1mm channel � Operative sheaths � 7-‐10mm (average 8mm) � Common cavity for passage of scope and tools � Isolated input and output channels (1980’s) � Same 2-‐4mm scope as for diagnostic � Resectoscope � Double armed mono-‐polar electrode with either loop or roller-‐ ball � 30 degree telescope/ angled towards the electrode (12mm) 10
Accessory instruments � Alligator grasping forceps, biopsy forceps and scissors. Semi-‐rigid � Bipolar electrodes � Monopolar blade electrodes � Flexible hysteroscope (Fujinon, 1980’s) � LASER (Argon, Nd, YAG and KTP) � Lots of bother and no practical advantage � Good coag but poor vapourisation properties 11
- Page 1 and 2: Philip Thomas FRANZCOG, FRCS Edinbu
- Page 3 and 4: A: Sir Jack Brabham-‐ The Fox
- Page 5 and 6: Pantaleoni � “…she was placed
- Page 7 and 8: Equipment � Light source � Cold
- Page 9: Telescopes 9
- Page 13 and 14: Distension media-‐ diagnosEc
- Page 15 and 16: OperaEve hysteroscopy medium � Gl
- Page 17 and 18: Technique (2) � Check equipment
- Page 19 and 20: Pathology 19
- Page 21 and 22: Pathology (3) 21
- Page 23 and 24: Pathology (5) 23
- Page 25 and 26: Technique-‐ LA/awake � Not qu
- Page 27 and 28: Technique-‐ resecEon � Diffic
- Page 30 and 31: Pathology 30
- Page 32 and 33: Pathology (3) 32
- Page 34 and 35: Pathology (5) 34
- Page 36 and 37: Endometrial ablaEon � History �
- Page 38 and 39: AblaEon (3) � Preparation � Con
- Page 40 and 41: AblaEon 40
- Page 42 and 43: ComplicaEons � Operator dependent
- Page 44 and 45: ComplicaEons (3) � Perforation
- Page 46 and 47: QuesEons? 46
Equipment (cont)<br />
� Diagnostic sheath<br />
� 5mm diameter/ 1mm channel<br />
� Operative sheaths<br />
� 7-‐10mm (average 8mm)<br />
� Common cavity for passage of scope and tools<br />
� Isolated input and output channels (1980’s)<br />
� Same 2-‐4mm scope as for diagnostic<br />
� Resectoscope<br />
� Double armed mono-‐polar electrode with either loop or roller-‐<br />
ball<br />
� 30 degree telescope/ angled towards the electrode (12mm)<br />
10