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DIAGNOSTIC PROCEDURES.pptx
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- 2. HYSTEROSALPHYNGOGRAPHY(HSG) • Hystero+salpingo+graphy • Hystero-uterus • salpingo- fallopian tubes • Graphy – radiolological procedure
- 3. INDICATIONS • Assessment oftubal patency • Detection of uterine malformation • Diagnosis of cervical incompetence • Detection of translocated IUD • Diagnosis of uterine synechiae(adhesions) • Diagnosis of uterine fibroid, uterine polyp • Diagnosis of abdominal pregnancy • Infertility
- 5. PROCEDURE • Anaesthesia given •Radio-opaque dye 5-10ml • Radiographic x rays • TIMING OF PROCEDURE • HSG is done D6 and D 10 of cycle • Antiobiotics given one day before procedure upto 5 days
- 6. CONTRAINDICATIONS • Suspected pregnancy •Acute pelvic infection • Active vaginal bleeding • Recent dilatation and curettage • Immediate pre and post menstrual phase • Tubal or uterine surgery within last 6 weeks • Contrast sensitivity
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- 10. Dilatation and curettage(D&C) • Dilatation (widening/opening) • Curettage (removal of part of the lining of the uterus or contents of the uterus by scraping and scooping ) • TYPES • Diagnostic D&C • Therapeutic D&C
- 11. INDICATIONS • Abortions • Molarpregnancy • Prolonged or excessive bleeding • Postpartum haemorrhage • Anaesthesia • General • Regional • Paracervical – around cervix
- 12. Complications • Uterine perforation •Cervical injury • Infection • Intrauterine adhesions
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- 14. INTRODUCTION • A surgicalprocedure in which a fibre optic instrument is inserted through the abdominal wall to view the organs in the abdomen or permit small-scale surgery • Also known as minimally invasive surgery(MIS) , Keyhole surgery • Small incision (usually 0.5-1.5cm) • Uses • Diagnostic • Therapeutic
- 15. Diagnostic laparoscopy indications •Infertility ( status of fallopian tube and adhesions) • Ovarian cysts • Ectopic pregnancy • PID • Endometriosis
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- 17. Introduction • Colposcopy isa gynaecological procedure that illuminates and magnifies vulva , vaginal walls and uterine cervix • Detect abnormalities of these structures
- 18. Indication • If Papsmear is abnormal • Cervix looks abnormal • Patient with postcoital vaginal bleeding • To take biopsy • Can also be used for therapeutic procedures
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- 21. INTRODUCTION • HYSTEREC- uterus •Tomy – removal • Types • Subtotal hysterectomy – uterine body only • Total hysterectomy – uterine body and cervix • Hysterectomy with BSO • Radical (or Wertheim) hysterectomy total hysterectomy with pelvic lymph nodes , paracervical tissue and upper 1/3 vagina
- 22. INDICATIONS • Fibroids 30% •Endometriosis • Uterine prolapse • Cancer of the uterus , cervix or ovaries • Vaginal bleeding , DUB(dysfunctional uterine bleeding) 20% • Uncontrollable PPH
- 23. ROUTES OF HYSTERCTOMY •Abdominal hysterectomy • Vaginal hysterectomy • Laparoscopic hysterectomy • Caesarean hysterectomy