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About Hysteroscopy PowerPoint Presentation

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Description : Check out this medical PowerPoint presentation titled "Hysteroscopy”.

This medical PowerPoint presentation is about hysteroscopy, a medical procedure that involves the use of a thin, lighted tube called a hysteroscope to examine the inside of the uterus. The hysteroscope is inserted through the vagina and cervix and into the uterus, allowing the doctor to see the lining of the uterus and the openings of the fallopian tubes.

Hysteroscopy can be used for both diagnostic and therapeutic purposes. In a diagnostic hysteroscopy, the doctor can visualize the uterus and diagnose conditions such as abnormal bleeding, fibroids, polyps, adhesions, or uterine anomalies. In a therapeutic hysteroscopy, the doctor can use the hysteroscope to remove polyps or fibroids, treat adhesions or scar tissue, or perform other surgical procedures.

Hysteroscopy is usually performed on an outpatient basis and can be done with local or general anesthesia. It is generally a safe and effective procedure with minimal risks, but as with any medical procedure, there is a small risk of complications such as bleeding, infection, or perforation of the uterus. Your doctor will discuss the risks and benefits of hysteroscopy with you before the procedure.

Tags : hysteroscopy, hysteroscope, uterus, cervix, fallopian tubes, Obstetrics and Gynecology, Obstetrics and Gynecology PowerPoint presentation

Published on : Jun 20, 2023 | Views : 1213 | Downloads : 0

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Hysteroscopy د.زينب عبد الأمير
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Hysteroscopy : passing a small diameter telescope , either flexible or rigid , through the cervix to directly inspect the uterine cavity Flexible hysteroscopy may be used in the out patient setting , with carbon dioxide as a filling medium Rigid instrument employ circulating fluids and can be used to visualze the uterine cavity even if the woman is bleeding
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Hysteroscopy : passing a small diameter telescope , either flexible or rigid , through the cervix to directly inspect the uterine cavity Flexible hysteroscopy may be used in the out patient setting , with carbon dioxide as a filling medium Rigid instrument employ circulating fluids and can be used to visualze the uterine cavity even if the woman is bleeding
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Distention Media Because the anterior and posterior uterine walls lie in apposition, a distention medium is required to expand the endometrial cavity for viewing. Media include carbon dioxide (CO2) Saline low-viscous fluids such as sorbitol, mannitol, and glycine An ordinary manually operated pressure cuff is pumped up so the intrauterine pressures of these media must reach 45 to 80 mm Hg Rarely is more than 100 mm Hg required
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Sorbitol/mannitol and glycine solutions are only used in surgical hysteroscopy, as they are electrolyte-free.
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hystroscope This common procedure has specific safety issues: Distension media include co2, normal saline, or glycine Water is not used bec, it is hypo-osmolar and once absorbed causes haemolysis. Uterine perforation may occur; high index of suspicion is needed, with early resource to laparoscopy. Excessive fluid absorption may lead to seizures and even death. Accurate measurement of fluid deficit is needed throughout the procedure. Fluid absorption increases significantly when intrauterine pr. Exceed the main arterial pr or when large vessel open through out endometrial resection surgery
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some instruments used in hysteroscopy
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Hysteroscope
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resectoscope
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Bipolar electrode for the resectoscope
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1-hysteroscope2-operative sheath3-diagnostic sheath4-biopsy forceps
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Normal hyseroscopy showing uterine cavity and entry into the two fallopian tubes
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Indications of hysteroscopy 1.Diagnostic hysteroscopy: with target biopsy abnormal menstruation, intermenstrual bleeding, postcoital and postmenopausal bleeding. Abnormal pelvic ultrasound findings (e.g. endometrial polyps, submucous fibroids) Subfertility Recurrent miscarriage Asherman’s syndrome Congenital uterine anomaly g. Lost intrauterine contraceptive device (IUCD)
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2.Operative hysteroscopy: Hysteroscopic surgery has a number of well-defined indications and is the treatment of choice for: 1. polypectomy. 2. myomectomy for intracavitary or submucous fibroids 3. adhesiolysis of intrauterine adhesions 4. metroplasty (division/resection of uterine septum). 5.endometrial ablation (destruction of the endometrium). 6. hysteroscopic sterilization
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Contraindications of hysteroscopy 1. Pelvic infection 2.Pregnancy 3.Cervical cancer 4. Heavy uterine bleeding
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Complications of hysteroscopy: Diagnostic hysteroscopy is a safe procedure, and complications are uncommon. However operative hysteroscopy carries a higher risk of complications: 1. Anaesthetic complications 2. Uterine perforation 3. Fluid overload so careful monitoring of fluid input and output is required 4. Haemorrhage 5. Gas embolism 6. Infection 7. Cervical trauma
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Normal hyseroscopy showing uterine cavity and entry into the two fallopian tubes
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Hysteroscopy showing endometrial polyp
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Hysteroscopy showing fibroid
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Hysteroscopy showing septum
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Endometrial polyps
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Submucous myoma
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Endometrial polyp
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Uterine polyp Uterine anomaly
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Endometrial Ca.
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Uterine polyp Uterine anomaly
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Polyp of the cervical canal
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Uterine septum
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Pedunculated endometrial polyp
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Uterine septum and an endometrial polyp
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Endometrial polyps
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Sessile polyp
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Endometrial resection
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The rollerball electrode
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A polyp is removed at the same time as theendometrial resection
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heating saline solution to a temperature of 90°C and recirculating it through the uterus for 10 minutes
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electrosurgical ablation
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Intrauterine adhesion and total obliteration of the cavity
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adenocarcinoma:
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Electrosurgical coaggulation
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polypectomy
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Perforation of the uterus with the resectoscope:laparoscopic view. Note the white aspect of theuterine serosa due to the thermal effect of the resectoscope
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perforation of the uterus with the resectoscope:hysteroscopic view
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visualization of the bowel through a uterine perforation
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Uterine septum ..hysteroscopic view
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Uterine adhesion seen by hysteroscope
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asherman syndrome
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dense adhesions
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Cu-T
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submucous fibroid
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EXCISION WITH LOOP
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excision of uterine septum
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loop resection
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Thank you