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
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 Novasure 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 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 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
AblaEon (2)<br />
� Contraindications<br />
� Excessively large or distorted cavity<br />
� Wish to maintain fertility<br />
� Not contraceptive<br />
� Consider concurrent laparoscopy/ tubal ligation<br />
� Hyperplasia/ carcinoma<br />
� Other indication for hysterectomy exists<br />
� Alternatives<br />
� Hysterectomy<br />
� Medical<br />
� Mirena/ other ablations such as Nova<strong>sur</strong>e<br />
37
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