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

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Awake hysteroscopy (2) � Careful VE-‐ make damned <strong>sur</strong>e AV or RV � Develop your ‘patter’ � Bivalve speculum � Chlorhexidine to cervix and vaginal walls � ‘no-‐touch’ technique � Consider Ligno w. Adr (dental syringe) � Tenaculum � Uterine sound � Fluid on but limit flow/distension � Have a QUICK look! � Summarise findings and reas<strong>sur</strong>e patient 26
Technique-‐ resecEon � Difficulty and potential for morbidity probably underestimated � Consent/ and complications including laparoscopy and incompleteness � Patient preparation � First half of cycle � Consider Misoprostol � Consider analogues � Careful control of flow and removal of debris � Ease of entry/egress is vital 27
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 and 10: Telescopes 9
Page 11 and 12: Accessory instruments � Alligator
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: Technique-‐ LA/awake � Not qu
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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