Your SlideShare is downloading. ×
0
Gynecology 5th year, 1st & 2nd lectures (Dr. Abir Mohidien Said)
Gynecology 5th year, 1st & 2nd lectures (Dr. Abir Mohidien Said)
Gynecology 5th year, 1st & 2nd lectures (Dr. Abir Mohidien Said)
Gynecology 5th year, 1st & 2nd lectures (Dr. Abir Mohidien Said)
Gynecology 5th year, 1st & 2nd lectures (Dr. Abir Mohidien Said)
Gynecology 5th year, 1st & 2nd lectures (Dr. Abir Mohidien Said)
Gynecology 5th year, 1st & 2nd lectures (Dr. Abir Mohidien Said)
Gynecology 5th year, 1st & 2nd lectures (Dr. Abir Mohidien Said)
Gynecology 5th year, 1st & 2nd lectures (Dr. Abir Mohidien Said)
Gynecology 5th year, 1st & 2nd lectures (Dr. Abir Mohidien Said)
Gynecology 5th year, 1st & 2nd lectures (Dr. Abir Mohidien Said)
Gynecology 5th year, 1st & 2nd lectures (Dr. Abir Mohidien Said)
Gynecology 5th year, 1st & 2nd lectures (Dr. Abir Mohidien Said)
Gynecology 5th year, 1st & 2nd lectures (Dr. Abir Mohidien Said)
Gynecology 5th year, 1st & 2nd lectures (Dr. Abir Mohidien Said)
Gynecology 5th year, 1st & 2nd lectures (Dr. Abir Mohidien Said)
Gynecology 5th year, 1st & 2nd lectures (Dr. Abir Mohidien Said)
Gynecology 5th year, 1st & 2nd lectures (Dr. Abir Mohidien Said)
Gynecology 5th year, 1st & 2nd lectures (Dr. Abir Mohidien Said)
Gynecology 5th year, 1st & 2nd lectures (Dr. Abir Mohidien Said)
Gynecology 5th year, 1st & 2nd lectures (Dr. Abir Mohidien Said)
Gynecology 5th year, 1st & 2nd lectures (Dr. Abir Mohidien Said)
Gynecology 5th year, 1st & 2nd lectures (Dr. Abir Mohidien Said)
Gynecology 5th year, 1st & 2nd lectures (Dr. Abir Mohidien Said)
Gynecology 5th year, 1st & 2nd lectures (Dr. Abir Mohidien Said)
Gynecology 5th year, 1st & 2nd lectures (Dr. Abir Mohidien Said)
Gynecology 5th year, 1st & 2nd lectures (Dr. Abir Mohidien Said)
Gynecology 5th year, 1st & 2nd lectures (Dr. Abir Mohidien Said)
Gynecology 5th year, 1st & 2nd lectures (Dr. Abir Mohidien Said)
Gynecology 5th year, 1st & 2nd lectures (Dr. Abir Mohidien Said)
Gynecology 5th year, 1st & 2nd lectures (Dr. Abir Mohidien Said)
Gynecology 5th year, 1st & 2nd lectures (Dr. Abir Mohidien Said)
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

Gynecology 5th year, 1st & 2nd lectures (Dr. Abir Mohidien Said)

773

Published on

The lecture has been given on May 9th & 11th, 2011 by Dr. Abir Mohidien Said.

The lecture has been given on May 9th & 11th, 2011 by Dr. Abir Mohidien Said.

Published in: Health & Medicine
0 Comments
2 Likes
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total Views
773
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
52
Comments
0
Likes
2
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. DR: AbirMohidien Said
    Operative Gynaecology
  • 2. Operative Gynaecology
    About 80% of all the gyn.surgeries are elective, this means that there are other alternative treatments to be considered, the appropriateness of the dicision making depends on the physician & patient on an individual basis, prepair for operation is important, information about operation, risk, alternative.
  • 3. D&C (dilitation&curtage)
    D&C one of the most commen minor gyn.op.
    D&C may be a diagnostic or a therapeutic procedure
    A diagnostic is performed for:
    Premenopausal irreguler menstrual bleeding
    Post menapausal bleeding
    Suspected Ca. of cervix or endometium(fractional curettage)
    Therapeutic effect with very heavy bleeding
  • 4. Complication of the D&C
    Perforation of the uterus. It is not uncommen & occurs particulary with a retroverted uterus
    Infection ( always 2 typs antibiotic, aerobic&nonaerobic)
    Hemorrhage
    Continuing pregnancy
    Retained products of conception
    Cervical damage
  • 5. Cervical conization
    A cone shaped portion of the cervix removed therapeutic & diagnostic purposes
    Therapeutic ( cervical dysplasia or chronic cervicitis)
    Performed by using knive or loop electrosurgical excision or by laser ( give nice scar & less bleeding)
  • 6. Cervical conization
  • 7. Laser
    Is commonly used to treat condylomas of the cervix, vagina,perinium & vulva
    To treat chronic cervicitis
    Dysplasia of the vulva
    Vaporization or coagulation of endometriosis ( laproscopic)
  • 8. CondylomataAcuminata
  • 9. Laproscopy
    Using a device called laparoscope( telescope)
    CO2 inflation ( few liters about 3-4 L)
    Laproscopy is two types:
    Diagnostic laparoscopy
    Operative Laparoscopy
  • 10. Diagnostic Laparoscopy
    Unexplained infertility
    Tubal patancy testing
    Adenexal, uterin pathology congenital or acquired
    Acute abdomen, suspected ectopic gestation
  • 11. Operative Laparoscopic
    Tubutomy & ectopic preg. removed
    Salpingectomy with Ectopic pregnancy
    Salpingo oophorectomy (prophylxic,ect)
    Exicesion of the ovarium cyst
    Oophorectomy exicesion
    Adhesion lysis
    Vaporization of the endometriosis
    LAVH
    Sterilisation & abdominal IUD removal
  • 12.
  • 13.
  • 14. Commen complication
    Penetrating injuries from veress needle
    Perforation of the bowel
    Perforetion of the blood vessels
    Damage to bowel and bladder during diathermy
    Gas embolism
    Bleeding
    Infection
  • 15. Hysteroscopy
    Now very commen, means the visualization of the endometrial & endocervicallining & the cavity by using a flexible or raged telescope.
    Diagnosis or operative
    Diagnosis of any congenital ( uterin septum etc)
    Operative of uterine pathology ( endometrial ,cervical polypectomy or submucus fibroids etc)
  • 16. Hysteroscopy
  • 17.
  • 18. complication
    Perforation during cevixdilitation
    Uterin perforation
    Bowel or bladder damage ( diathermy )
    Fluid absorption ( manitol , NACL )
    Bleeding
    Infection
    Air embolism
  • 19. Cystoscopy
    Full bladder with water & induced the cystoscop throw the urethra to the blader
    Rigid or flexible cystoscop
    Gynaecologist used only for diagnostic, after recurrent cystitis, haematuria, suspected polyp & to se perforation, after induced tape of incontinence operation.( TVT, TOT)
  • 20.
  • 21.
  • 22.
  • 23. Hysterectomy
    Total hysterectomy
    Subtotal/ supravaginal hysterectomy
    Radical hysterectomy( Wertheim operation)
    Total hyterectomy with bilatral/unilateral salpingo-oophorectomy
    Vaginal hysterectomy
    LAVH (laproscopically-assisted vaginal hysterectomy)
  • 24. Complication
    Bleeding
    Wound infection (deep or superfacial)
    Cystitis
    Urin retention
    Embolism ( DVT, lung)
    Damage to the intestine, blader, ureter)
    Sever painfull
    Complication of GA
  • 25. Urogynecological operation
    Stress incontinens (laxity of the urethra)
    TVT ( Tension -free Vaginal Tape)
    TOT ( Trans Obturator Tape)
    Burch operation (permanent stitches are placed near the neck of the bladder and fixed to the back of the pubic)
  • 26.
  • 27. Colporrhaphy anterior
    Cystocele repair, large cystoceles may require surgery to push up the bladder away from the vagina & support it so it will stay in anormal position
    Complication: bladder perforation,urgeincontinence,infection & bleeding
  • 28.
  • 29. Colporraphy posterior
    Rectocele repair, occurs when rectum start to fall to the front & pushes against the back wall of the vagina
    Push up the rectum away from the vagina & support it so it will stay in amore normal position
    Complication : intestine perforation, infection, bleeding,stenosis of vagina & dysparunia
  • 30.
  • 31. Colporraphywith mesh
  • 32. THANKS

×