Veress J. Neues Instrument sur Ausfuhrung von ... - Dr Philip Thomas

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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 25 and 26: Technique-‐ LA/awake � Not qu
Page 27 and 28: Technique-‐ resecEon � Diffic
Page 30 and 31: Pathology 30
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

Veress J. Neues Instrument sur Ausfuhrung von ... - Dr Philip Thomas

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