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
The Ten Commandments for safe hysteroscopic resecEon, according to Phil Thomas 1. Confirm that it is sub-‐mucosal-‐ a saline infused scan is most informative. Don’t accept inexpert scans 2. Facilitate cervical dilatation-‐ ripen cervix with Misoprostol routinely 3. At least 50% of the fibroid should be in the cavity 4. Fibroids should be less than 5cm-‐ any more, shrink with GnRHa’s first, or another kind of operation 5. If concerned about distance to serosa, monitor with ultrasound intra-‐operatively, or consider laparoscopy 28
- 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 23 and 24: Pathology (5) 23
- Page 25 and 26: Technique-‐ LA/awake � Not qu
- Page 27: Technique-‐ resecEon � Diffic
- Page 31 and 32: Pathology (2) 31
- Page 33 and 34: Pathology (4) 33
- Page 35 and 36: Pathology (6) 35
- Page 37 and 38: AblaEon (2) � Contraindications
- Page 39 and 40: Technique � Roller ball or loop
- Page 41 and 42: Results � 10% “failure” � S
- Page 43 and 44: ComplicaEons (2) � Operative �
- Page 45 and 46: Returns to casualty � Most morbid
- Page 47: Janos Veress � 1903-‐1979 �
The Ten Commandments<br />
for safe hysteroscopic resecEon, according to Phil <strong>Thomas</strong><br />
1. Confirm that it is sub-‐mucosal-‐ a saline infused scan<br />
is most informative. Don’t accept inexpert scans<br />
2. Facilitate cervical dilatation-‐ ripen cervix with<br />
Misoprostol routinely<br />
3. At least 50% of the fibroid should be in the cavity<br />
4. Fibroids should be less than 5cm-‐ any more, shrink<br />
with GnRHa’s first, or another kind of operation<br />
5. If concerned about distance to serosa, monitor with<br />
ultrasound intra-‐operatively, or consider laparoscopy<br />
28
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