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

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Endometrial ablaEon � History � Vancaille, 1937: electrical � Goldrath, 1981: NdYag laser � Procedure more widely accepted � Indications � Menorrhagia/ DUB � Mostly regular cavity � Previous hysteroscopy or scan � Hyperplasia/ carcinoma excluded � Pipelle or curette � **What might happen if you inadvertently ablate a carcinoma? 36
AblaEon (2) � Contraindications � Excessively large or distorted cavity � Wish to maintain fertility � Not contraceptive � Consider concurrent laparoscopy/ tubal ligation � Hyperplasia/ carcinoma � Other indication for hysterectomy exists � Alternatives � Hysterectomy � Medical � Mirena/ other ablations such as Nova<strong>sur</strong>e 37
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 and 26: Technique-‐ LA/awake � Not qu
Page 27 and 28: Technique-‐ resecEon � Diffic
Page 30 and 31: Pathology 30
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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