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Principles of Safe And Effective Hysteroscopy PowerPoint Presentation

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Description : Check out this medical PowerPoint presentation titled "Principles of safe and effective hysteroscopy”.

This medical PowerPoint presentation is about hysteroscopy, a minimally invasive procedure that allows a doctor to examine the inside of the uterus using a thin, flexible tube with a light and camera attached. To ensure safe and effective hysteroscopy, the following principles should be followed:

Patient preparation: Before the procedure, the patient should be evaluated to ensure that hysteroscopy is the best option for their condition. The patient should also be informed of the procedure and given instructions on how to prepare.
Proper equipment: The equipment used in hysteroscopy should be of high quality and properly maintained. The hysteroscope should be sterilized before each use.
Anesthesia: Depending on the procedure, the patient may need to be given anesthesia. The type of anesthesia used should be appropriate for the patient and the procedure.
Visualization: Good visualization is critical to the success of the procedure. The hysteroscope should be carefully maneuvered to provide a clear view of the uterus.
Gentle technique: The uterus is a delicate organ, and gentle technique is essential to avoid injury. The hysteroscope should be inserted carefully, and the surgeon should use gentle movements.
Proper positioning: The patient should be properly positioned to allow for optimal visualization and access to the uterus.
Monitoring: During the procedure, the patients vital signs should be monitored to ensure that they are stable.
Post-procedure care: After the procedure, the patient should be monitored for any complications. They should also be given instructions on how to care for themselves at home.

By following these principles, hysteroscopy can be a safe and effective procedure for diagnosing and treating a variety of gynecological conditions.

Tags : hysteroscopy, uterus, Obstetrics and Gynecology, Obstetrics and Gynecology PowerPoint presentation

Published on : Jun 20, 2023 | Views : 1530 | Downloads : 2

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Transcript

Slide 2-

What is Hysteroscopy? “Looking inside the uterus” Can be diagnostic Can be therapeutic
Slide 3-

Why Hysteroscopy? Abnormal bleeding Subfertility Recurrent miscarriage Pre-op assessment To remove something (‘lost IUCD’)
Slide 4-

Contraindications Active uterine infection Severe systemic illness Pregnancy Heavy uterine bleeding! (Cervical Cancer)
Slide 5-

Know your patient History Examination Investigations
Slide 6-

What to expect in this lecture Anaesthetic ,Local General or none Positioning the patient/equipment Cleaning/draping Equipment Distension medium Negotiating cervix Effective diagnostic survey
Slide 7-

Positioning the patient Dorsal lithotomy Beware back, hips, peroneal N, other bits Awake patients can position themselves!
Slide 8-

Distension medium Uterine cavity is virtual until distended Saline Dextran/Glycine CO2 © Royal College of Obstetricians and Gynaecologists
Slide 9-

Distension medium Fluid overload and hysteroscopic surgery Absorption of non ionic distension medium used with monopolar resection/ablation Hyponatraemia Pulmonary oedema Cerebral oedema Seizures Risk increases with fibroid resection
Slide 10-

Equipment for diagnostic Hysteroscopy Telescopes Optics Hysteroscopic sheaths Light source
Slide 11-

Telescopes Rigid: Diameter 1-5 mm Flexible: Diameter 2.7-5 mm
Slide 12-

Optics 0o Degree telescope Fore-oblique angle: 12o 25o 30o
Slide 13-

Hysteroscopic sheaths Single-Channel Dual-channel
Slide 14-

Negotiating cervix Method Dilation not usually required Distend cervix with medium Enter under direct vision Understand angled tip Double channel continuous flow for hysteroscopic surgery © Royal College of Obstetricians and Gynaecologists
Slide 15-

Negotiating cervix (cont.)
Slide 16-

Vaginoscopic Approach
Slide 17-

Effective diagnostic survey Methodological approach Understand aims of procedure Rotation of scope to allow angled tip to visualise entire cavity Appropriate record of findings Written Photography (consent especially if used for educational use at a later date)
Slide 18-

Complications Failed procedure - <2% - Cervical stenosis - Blood, gas bubbles Problems due to distension media - Fluid overload Problems due to procedure itself - Infection - Bleeding - Cervical/uterine damage/perforation Anaesthetic problems Incidence serious complications in DIAGNOSTIC hysteroscopy 0.012%