one day hysterectomy
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one day hysterectomy is minimaly invasive vaginal hysterectomy type of non descend vaginal hysterectomy with thermal sutures .It is cost effective, patient friendly,less stay , scrless, pinless surggery for fibroids , pelvic pain , endometriosis, dyafunctional uterine bleeding
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Hysterectomy
This document discusses different types of hysterectomy procedures and alternatives to hysterectomy for treating abnormal uterine bleeding. It provides details on total abdominal hysterectomy, total vaginal hysterectomy, laparoscopic assisted vaginal hysterectomy, laparoscopic hysterectomy, and laparoscopic supracervical hysterectomy. It also discusses outcomes of these procedures and alternatives like supracervical hysterectomy and ablation of the endometrium. A table provides a long-term comparison of outcomes for different procedures.
Hysterectomy
The document discusses different types of hysterectomy procedures including total abdominal hysterectomy, total vaginal hysterectomy, laparoscopic assisted vaginal hysterectomy, and laparoscopic hysterectomy. It also discusses laparoscopic supracervical hysterectomy. Outcomes of the different procedures are compared, noting that 90% of patients prefer minimally invasive procedures with quick recovery. Long-term outcomes and risks of subsequent procedures are presented for the different hysterectomy types.
Abdominal ve Vajinal Histerektomi - www.jinekolojivegebelik.com
Vaginal hysterectomy continues to be the preferred procedure for hysterectomy when feasible. Abdominal hysterectomy is more commonly performed and accounts for around 75% of hysterectomies. Hysterectomy is one of the most commonly performed surgical procedures for women and is usually performed to treat conditions such as leiomyomas, abnormal uterine bleeding, or pelvic organ prolapse. The average age for women undergoing hysterectomy is 42.7 years.
evidence base steps hysterectomy
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Difficult vaginal hysterectomy
This document discusses techniques for performing a difficult vaginal hysterectomy. It identifies 5 keys to success: 1) ensuring adequate surgical experience, 2) obtaining adequate exposure through proper retraction and lighting, 3) entering the anterior cul-de-sac first to avoid bladder injury, 4) gaining uterine mobility through ligating supporting structures if needed, and 5) using proper morcellation techniques once the uterus is detached. The document emphasizes the importance of surgical experience and proper technique to overcome challenges and perform vaginal hysterectomy even in more difficult cases.
Hysterectomy: The Evidence
A review of the evidence for hysterectomy modalities, as presented at the AGES-ISGE Meeting in Melbourne in 2015.
Urinary Stress Incontinence In Women
This document discusses stress urinary incontinence (SUI) and various treatment options. It begins by outlining some myths about SUI, noting that it is not simply a natural part of aging and can be treated. Conservative management options for SUI are discussed such as lifestyle changes and pelvic floor exercises. Surgical options for urodynamic stress incontinence (USI) are then summarized, including traditional approaches like Burch colposuspension as well as modern mid-urethral sling (MUS) procedures. Complications, outcomes, and long-term results are compared for different surgical techniques. Guidance from regulatory bodies on the appropriate use of MUS is also presented.
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Hysterectomy
This document discusses different types of hysterectomy procedures and alternatives to hysterectomy for treating abnormal uterine bleeding. It provides details on total abdominal hysterectomy, total vaginal hysterectomy, laparoscopic assisted vaginal hysterectomy, laparoscopic hysterectomy, and laparoscopic supracervical hysterectomy. It also discusses outcomes of these procedures and alternatives like supracervical hysterectomy and ablation of the endometrium. A table provides a long-term comparison of outcomes for different procedures.
Hysterectomy
The document discusses different types of hysterectomy procedures including total abdominal hysterectomy, total vaginal hysterectomy, laparoscopic assisted vaginal hysterectomy, and laparoscopic hysterectomy. It also discusses laparoscopic supracervical hysterectomy. Outcomes of the different procedures are compared, noting that 90% of patients prefer minimally invasive procedures with quick recovery. Long-term outcomes and risks of subsequent procedures are presented for the different hysterectomy types.
Abdominal ve Vajinal Histerektomi - www.jinekolojivegebelik.com
Vaginal hysterectomy continues to be the preferred procedure for hysterectomy when feasible. Abdominal hysterectomy is more commonly performed and accounts for around 75% of hysterectomies. Hysterectomy is one of the most commonly performed surgical procedures for women and is usually performed to treat conditions such as leiomyomas, abnormal uterine bleeding, or pelvic organ prolapse. The average age for women undergoing hysterectomy is 42.7 years.
evidence base steps hysterectomy
Seminar Evidence Based Obstetric & Gynecology POGI Cabang Surabaya
17 Juli 2016 - Pullman Hotel Surabaya
Difficult vaginal hysterectomy
This document discusses techniques for performing a difficult vaginal hysterectomy. It identifies 5 keys to success: 1) ensuring adequate surgical experience, 2) obtaining adequate exposure through proper retraction and lighting, 3) entering the anterior cul-de-sac first to avoid bladder injury, 4) gaining uterine mobility through ligating supporting structures if needed, and 5) using proper morcellation techniques once the uterus is detached. The document emphasizes the importance of surgical experience and proper technique to overcome challenges and perform vaginal hysterectomy even in more difficult cases.
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A review of the evidence for hysterectomy modalities, as presented at the AGES-ISGE Meeting in Melbourne in 2015.
Urinary Stress Incontinence In Women
This document discusses stress urinary incontinence (SUI) and various treatment options. It begins by outlining some myths about SUI, noting that it is not simply a natural part of aging and can be treated. Conservative management options for SUI are discussed such as lifestyle changes and pelvic floor exercises. Surgical options for urodynamic stress incontinence (USI) are then summarized, including traditional approaches like Burch colposuspension as well as modern mid-urethral sling (MUS) procedures. Complications, outcomes, and long-term results are compared for different surgical techniques. Guidance from regulatory bodies on the appropriate use of MUS is also presented.
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Non descent vaginal hysterectomy
This document summarizes a presentation given by Dr. Rajni Singh on vaginal hysterectomy techniques. Key points include:
- Vaginal hysterectomy is the safest and most cost-effective surgical route for conditions like fibroids and abnormal bleeding, with less complications and faster recovery compared to abdominal hysterectomy.
- Evaluation of pelvic support and anatomy is important prior to the surgery.
- Techniques like bladder dissection, use of curved scissors and hemostatic systems like Ligasure can aid in performing a bloodless procedure.
- Post-operative care includes catheter removal after 12 hours and discharge usually within 24-36 hours. Potential complications include vault hematoma, infections and urinary tract injuries
Vaginal hysterectomies in large size uteri
This document summarizes the history and techniques of vaginal hysterectomy. It notes that the first vaginal hysterectomy was performed in 500 BC by Hyppocrates. More modern techniques were developed from the 1600s onwards. The document then discusses the evolution of hysterectomy techniques from abdominal to laparoscopic approaches. It presents data from the author's experience showing vaginal hysterectomy has advantages over abdominal hysterectomy like less blood loss, shorter recovery time and fewer complications. The author concludes that with the right techniques, even large uteri can be removed vaginally and vaginal hysterectomy should remain an important surgical option.
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This document discusses reviving the technique of vaginal hysterectomy and implementing it safely to avoid post-operative vaginal vault prolapse. The key steps of the technique include: 1) carefully opening the pouch of Douglas and applying the first clamp as close to the uterus as possible; 2) securing the first pedicle to the lateral vaginal angle for support; and 3) using a "step-ladder" approach to ligate and approximate all pedicles together before closing, which aids hemostasis and support of the vaginal vault. The author argues this technique minimizes risks compared to abdominal or laparoscopic hysterectomy and can lower costs while maintaining good postoperative outcomes when performed by trained surgeons on appropriately selected patients.
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The document discusses various anatomical factors that can contribute to recurrent pregnancy loss, including uterine anomalies like septate uterus, bicornuate uterus, and unicornuate uterus. It describes how these anomalies can increase risks of miscarriage and preterm birth. The document outlines surgical treatments like hysteroscopic septal resection and metroplasty that aim to correct anomalies and improve reproductive outcomes by reducing miscarriage and preterm birth rates. It also discusses cervical insufficiency and the use of cerclage procedures to treat this issue and prolong pregnancy.
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Hysterectomy is a common surgery but has risks and downsides. There are often alternatives to removing the uterus that can treat conditions like fibroids without surgery. Non-surgical options include medications, uterine artery embolization, MRI-guided focused ultrasound, and other procedures to destroy or remove fibroids. While hysterectomy may be necessary in some cases, it should not be the default option and removing just the disease rather than the whole organ is preferable when possible.
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This document discusses the history and techniques of vaginal hysterectomy. It provides details on the procedure including patient positioning, instrumentation, surgical steps like incising the vaginal mucosa and entering the pelvic spaces, clamping and suturing of ligaments, and uterine removal. Post-operative complications are also reviewed. The document serves as a reference for gynecologists performing this common gynecological surgery.
Laparoscopy
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HYSTEROSCOPY
This document provides information on operative hysteroscopy, including therapeutic indications, instruments used, specific procedures, complications, and techniques. Some key points:
- Operative hysteroscopy is used to treat conditions like uterine septum, synechiae, polyps, and myomas. Instruments include a resectoscope, cutting loops, and electrodes.
- Specific procedures discussed include hysteroscopic metroplasty for septate uterus, adhesiolysis for synechiae, transcervical resection of submucous myomas, and endometrial ablation.
- Complications can be perioperative like bleeding, perforation, or fluid absorption syndrome, or postoperative like adhesions or
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A hysterectomy is a surgical procedure to remove a woman's uterus. It is the most common non-obstetrical surgery for women in the United States, with approximately 300 out of every 100,000 women undergoing the procedure. There are several types of hysterectomies, including total abdominal hysterectomy, vaginal hysterectomy, supracervical hysterectomy, laparoscopy-assisted vaginal hysterectomy, and laparoscopic supracervical hysterectomy. A total abdominal hysterectomy involves removing the uterus through an abdominal incision, while a vaginal hysterectomy removes the uterus through the vagina. A laparoscopy-assisted vaginal hysterectomy adds the use of a laparoscope to the vaginal
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This document provides information on various gynecological procedures including hysterectomy, myomectomy, dilation and evacuation, cervical cerclage, hysteroscopy, and laparoscopy. It describes the procedures, indications, pre-procedure counseling elements, techniques, potential complications, and post-procedure care. Hysterectomy involves removal of the uterus, which can be total or subtotal. Myomectomy removes fibroids. Dilation and evacuation is used to diagnose conditions or remove retained pregnancy tissue. Cervical cerclage closes the cervix to prevent preterm birth. Hysteroscopy and laparoscopy allow internal visualization of the uterus and abdomen respectively.
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This document discusses complications that can occur during hysteroscopic procedures. It begins by defining various complications such as perforation, bleeding, fluid overload, and infection. It then discusses incidence rates and risk factors for complications. The remainder of the document provides details on specific complications, how to recognize them, and strategies for prevention and management. It emphasizes the importance of proper patient positioning, techniques such as gradual dilation to avoid false passages, and using distension media carefully to prevent fluid overload.
Hysteroscopy
This document provides information about hysteroscopy, including:
- A hysteroscope is an endoscope used to visualize the uterine cavity and perform procedures.
- It describes the historical development of hysteroscopy from the 19th century to modern techniques.
- The types of hysteroscopes and instrumentation used are outlined, including distention media, electrodes, sheaths, and cameras.
- The document discusses the procedures, indications, contraindications and complications of diagnostic and operative hysteroscopy.
Hysterectomy
HYSTERECTOMY
Hysterectomy
Hysterectomy
Term origin:
hyster + ectomy
uterus surgical removal
Definition:
Hysterectomy is defined as the surgical removal of uterus.
Routes for Hysterectomy
Abdominal Hysterectomy
Vaginal Hysterectomy
Laparoscopic Hysterectomy
Caesarean Hysterectomy
Types of Hysterectomy
Total Hysterectomy
Removal of entire uterus.
Subtotal Hysterectomy
Removal of body or corpus leaves behind the cervix.
Panhysterectomy / Hysterectomy with bilateral salpingo oophorectomy
Removal of uterus along with tubes and ovaries of
both sides.
Indications
Diagnostic Hysteroscopy Patel
1. Hysteroscopy has evolved since its beginnings in the late 19th century when instruments were first used to visualize the inside of the uterus.
2. Developments in distension media and techniques in the mid-20th century allowed hysteroscopy to become more practical as an office procedure using carbon dioxide or other media.
3. Diagnostic hysteroscopy is used to evaluate conditions like polyps, fibroids, and abnormalities like septate uteri but may sometimes require conversion to operative hysteroscopy during the same session. Care must be taken to prevent complications from inadequate visualization or improper technique.
Radical hysterectomy
Radical hysterectomy is a surgical procedure for treating cervical cancer. It involves removing the uterus, cervix, part of the vagina, and nearby lymph nodes and tissue. There are different classifications of radical hysterectomy based on the extent of tissue removed. Complications can include bleeding, infection, injury to nearby organs like the bladder or ureters. Radical hysterectomy is indicated for early stage cervical cancer and may provide better survival outcomes than radiation alone for some patients.
Operative gynecology
The document discusses various gynecological procedures including:
1. Dilatation and curettage which is used to dilate the cervix for procedures like hysteroscopy or IUD insertion and to curette the uterine cavity to diagnose or treat conditions.
2. Anterior and posterior colporrhaphy which are used to repair cystocele and rectocele by incising and suturing the anterior and posterior vaginal walls.
3. Fothergill's operation which is used to treat combined vaginal and uterine prolapse and involves cervical amputation and shortening of ligaments.
4. Various myomectomy and hysterectomy techniques for removing fibroids and
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Non descent vaginal hysterectomy
This document summarizes a presentation given by Dr. Rajni Singh on vaginal hysterectomy techniques. Key points include:
- Vaginal hysterectomy is the safest and most cost-effective surgical route for conditions like fibroids and abnormal bleeding, with less complications and faster recovery compared to abdominal hysterectomy.
- Evaluation of pelvic support and anatomy is important prior to the surgery.
- Techniques like bladder dissection, use of curved scissors and hemostatic systems like Ligasure can aid in performing a bloodless procedure.
- Post-operative care includes catheter removal after 12 hours and discharge usually within 24-36 hours. Potential complications include vault hematoma, infections and urinary tract injuries
Vaginal hysterectomies in large size uteri
This document summarizes the history and techniques of vaginal hysterectomy. It notes that the first vaginal hysterectomy was performed in 500 BC by Hyppocrates. More modern techniques were developed from the 1600s onwards. The document then discusses the evolution of hysterectomy techniques from abdominal to laparoscopic approaches. It presents data from the author's experience showing vaginal hysterectomy has advantages over abdominal hysterectomy like less blood loss, shorter recovery time and fewer complications. The author concludes that with the right techniques, even large uteri can be removed vaginally and vaginal hysterectomy should remain an important surgical option.
Vaginal Hysterectomy: Revival
This document discusses reviving the technique of vaginal hysterectomy and implementing it safely to avoid post-operative vaginal vault prolapse. The key steps of the technique include: 1) carefully opening the pouch of Douglas and applying the first clamp as close to the uterus as possible; 2) securing the first pedicle to the lateral vaginal angle for support; and 3) using a "step-ladder" approach to ligate and approximate all pedicles together before closing, which aids hemostasis and support of the vaginal vault. The author argues this technique minimizes risks compared to abdominal or laparoscopic hysterectomy and can lower costs while maintaining good postoperative outcomes when performed by trained surgeons on appropriately selected patients.
Treatment and outcome of anatomical factors for abortions
The document discusses various anatomical factors that can contribute to recurrent pregnancy loss, including uterine anomalies like septate uterus, bicornuate uterus, and unicornuate uterus. It describes how these anomalies can increase risks of miscarriage and preterm birth. The document outlines surgical treatments like hysteroscopic septal resection and metroplasty that aim to correct anomalies and improve reproductive outcomes by reducing miscarriage and preterm birth rates. It also discusses cervical insufficiency and the use of cerclage procedures to treat this issue and prolong pregnancy.
Hysterectomy decision el-hennawy
Hysterectomy is a common surgery but has risks and downsides. There are often alternatives to removing the uterus that can treat conditions like fibroids without surgery. Non-surgical options include medications, uterine artery embolization, MRI-guided focused ultrasound, and other procedures to destroy or remove fibroids. While hysterectomy may be necessary in some cases, it should not be the default option and removing just the disease rather than the whole organ is preferable when possible.
Vaginal Hysterectomy
This document discusses the history and techniques of vaginal hysterectomy. It provides details on the procedure including patient positioning, instrumentation, surgical steps like incising the vaginal mucosa and entering the pelvic spaces, clamping and suturing of ligaments, and uterine removal. Post-operative complications are also reviewed. The document serves as a reference for gynecologists performing this common gynecological surgery.
Laparoscopy
Georg Kelling performed the first laparoscopy procedure on a dog in 1901 in Dresden, Germany. Hans Christian Jacobaeus performed the first laparoscopy on a human in Sweden. In 1977, Patrick Steptoe performed the first diagnostic laparoscopy and the first IVF baby was conceived using laparoscopy to collect eggs. Raul Palmer published on modern diagnostic laparoscopy in France in 1947. Kurt Semm, known as the "mad scientist," pioneered the use of the cold light source, gas insufflator, laparoscopic suturing, and the first laparoscopic appendectomy in 1981 in Kiel, Germany. Laparoscopic surgery complications like bowel or bladder injuries may
HYSTEROSCOPY
This document provides information on operative hysteroscopy, including therapeutic indications, instruments used, specific procedures, complications, and techniques. Some key points:
- Operative hysteroscopy is used to treat conditions like uterine septum, synechiae, polyps, and myomas. Instruments include a resectoscope, cutting loops, and electrodes.
- Specific procedures discussed include hysteroscopic metroplasty for septate uterus, adhesiolysis for synechiae, transcervical resection of submucous myomas, and endometrial ablation.
- Complications can be perioperative like bleeding, perforation, or fluid absorption syndrome, or postoperative like adhesions or
Transobturator tape
The document discusses different surgical procedures for treating female stress urinary incontinence (SUI), including tension-free vaginal tape (TVT) and transobturator tape (TOT). It summarizes studies comparing the two procedures, finding that TOT has fewer complications than TVT, as it does not require penetrating the retropubic space. However, both procedures are shown to be safe and effective treatments for SUI, with high patient satisfaction and cure rates.
Adhesion prevention - Dr. dr. Brahmana., SpOG(K)
The document provides a curriculum vitae and presentation about adhesion prevention by Dr. Brahmana Askandar. The summary is:
Dr. Brahmana Askandar is the head of the gynecologic oncology division and secretary of the obstetrics and gynecology postgraduate program at Unair Surabaya Medical School. The presentation discusses adhesion formation, risk factors, complications, prevention methods including barriers, irrigation solutions, laparoscopy, adhesiolysis, and optimal surgical techniques.
Hysterectomy Powerpoint
A hysterectomy is a surgical procedure to remove a woman's uterus. It is the most common non-obstetrical surgery for women in the United States, with approximately 300 out of every 100,000 women undergoing the procedure. There are several types of hysterectomies, including total abdominal hysterectomy, vaginal hysterectomy, supracervical hysterectomy, laparoscopy-assisted vaginal hysterectomy, and laparoscopic supracervical hysterectomy. A total abdominal hysterectomy involves removing the uterus through an abdominal incision, while a vaginal hysterectomy removes the uterus through the vagina. A laparoscopy-assisted vaginal hysterectomy adds the use of a laparoscope to the vaginal
Common gyne. op
This document provides information on various gynecological procedures including hysterectomy, myomectomy, dilation and evacuation, cervical cerclage, hysteroscopy, and laparoscopy. It describes the procedures, indications, pre-procedure counseling elements, techniques, potential complications, and post-procedure care. Hysterectomy involves removal of the uterus, which can be total or subtotal. Myomectomy removes fibroids. Dilation and evacuation is used to diagnose conditions or remove retained pregnancy tissue. Cervical cerclage closes the cervix to prevent preterm birth. Hysteroscopy and laparoscopy allow internal visualization of the uterus and abdomen respectively.
Vasectomy vs. Tubal Ligation
When a couple decides their family has reached the right size and are ready to stop having children, there are two common permanent procedures they can undergo: vasectomy for the man or tubal ligation for the woman. While they achieve the same purpose (infertility), they drastically different procedures. Learn about both of these permanent birth control methods and find out which is right for your family.
Total Laparoscopic Hysterectomy- Tips, Tricks & Techniques
Total Laparoscopic Hysterectomy (TLH) - the operative steps made easy with detailed explanation & Tips at various stages of surgery to master it .
Hysteroscopy complications
This document discusses complications that can occur during hysteroscopic procedures. It begins by defining various complications such as perforation, bleeding, fluid overload, and infection. It then discusses incidence rates and risk factors for complications. The remainder of the document provides details on specific complications, how to recognize them, and strategies for prevention and management. It emphasizes the importance of proper patient positioning, techniques such as gradual dilation to avoid false passages, and using distension media carefully to prevent fluid overload.
Hysteroscopy
This document provides information about hysteroscopy, including:
- A hysteroscope is an endoscope used to visualize the uterine cavity and perform procedures.
- It describes the historical development of hysteroscopy from the 19th century to modern techniques.
- The types of hysteroscopes and instrumentation used are outlined, including distention media, electrodes, sheaths, and cameras.
- The document discusses the procedures, indications, contraindications and complications of diagnostic and operative hysteroscopy.
Hysterectomy
HYSTERECTOMY
Hysterectomy
Hysterectomy
Term origin:
hyster + ectomy
uterus surgical removal
Definition:
Hysterectomy is defined as the surgical removal of uterus.
Routes for Hysterectomy
Abdominal Hysterectomy
Vaginal Hysterectomy
Laparoscopic Hysterectomy
Caesarean Hysterectomy
Types of Hysterectomy
Total Hysterectomy
Removal of entire uterus.
Subtotal Hysterectomy
Removal of body or corpus leaves behind the cervix.
Panhysterectomy / Hysterectomy with bilateral salpingo oophorectomy
Removal of uterus along with tubes and ovaries of
both sides.
Indications
Diagnostic Hysteroscopy Patel
1. Hysteroscopy has evolved since its beginnings in the late 19th century when instruments were first used to visualize the inside of the uterus.
2. Developments in distension media and techniques in the mid-20th century allowed hysteroscopy to become more practical as an office procedure using carbon dioxide or other media.
3. Diagnostic hysteroscopy is used to evaluate conditions like polyps, fibroids, and abnormalities like septate uteri but may sometimes require conversion to operative hysteroscopy during the same session. Care must be taken to prevent complications from inadequate visualization or improper technique.
Radical hysterectomy
Radical hysterectomy is a surgical procedure for treating cervical cancer. It involves removing the uterus, cervix, part of the vagina, and nearby lymph nodes and tissue. There are different classifications of radical hysterectomy based on the extent of tissue removed. Complications can include bleeding, infection, injury to nearby organs like the bladder or ureters. Radical hysterectomy is indicated for early stage cervical cancer and may provide better survival outcomes than radiation alone for some patients.
Operative gynecology
The document discusses various gynecological procedures including:
1. Dilatation and curettage which is used to dilate the cervix for procedures like hysteroscopy or IUD insertion and to curette the uterine cavity to diagnose or treat conditions.
2. Anterior and posterior colporrhaphy which are used to repair cystocele and rectocele by incising and suturing the anterior and posterior vaginal walls.
3. Fothergill's operation which is used to treat combined vaginal and uterine prolapse and involves cervical amputation and shortening of ligaments.
4. Various myomectomy and hysterectomy techniques for removing fibroids and
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Treatment and outcome of anatomical factors for abortions
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Similar to one day hysterectomy
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This document discusses permanent contraception options for men and women, including vasectomies and tubal ligations. It provides details on the procedures, such as vasectomies involving transecting and occluding the vas deferens through non-scalpel or scalpel methods. Tubal ligations can be performed through abdominal, laparoscopic, or vaginal approaches. Both procedures are generally safe and effective but require extensive counseling as they provide permanent sterilization.
laparoscopic gynaecological surgery
This document discusses various laparoscopic gynecological procedures including hysterectomy, myomectomy, oophorectomy, and treatment of endometriosis. It provides details on how laparoscopic surgeries are performed, noting they involve several small incisions through which a camera and instruments are inserted. This allows visualization and treatment while avoiding a large incision. Benefits discussed include less pain, shorter recovery time, and smaller scars compared to open surgeries. Specific procedures covered in detail include laparoscopic hysterectomy, adnexal surgery, presacral neurectomy, and hysteroscopy.
Vasectomy.pptx
This document provides guidance on performing vasectomies, including preoperative evaluation and counseling, the no-scalpel technique, managing the vas ends, follow-up care, and complications. It emphasizes the importance of thorough patient selection, counseling, and use of the minimally invasive no-scalpel method to reduce risks and optimize outcomes.
Hysteroscopic endometial resection
This document discusses endometrial ablation, which is a treatment for abnormal uterine bleeding where the endometrium is destroyed. It notes that endometrial ablation has advantages over hysterectomy as it is less invasive, has a shorter recovery time, and allows the uterus to be preserved. The document provides details on the various techniques for endometrial ablation as well as preoperative preparation and counseling. It emphasizes the importance of completely ablating the entire endometrial thickness for treatment to be effective.
Hysteroscopic endometial resection
This document discusses endometrial ablation, which is a treatment for abnormal uterine bleeding where the endometrium is destroyed. It notes that endometrial ablation has advantages over hysterectomy as it is less invasive, allows the uterus to be preserved, and has a shorter recovery time. The document provides details on the various techniques for endometrial ablation and notes it is most effective when performed hysteroscopically to allow direct visualization. Preparation of the endometrium and cervix is recommended to improve outcomes.
Hysterectomy
1. Hysterectomy is a surgical procedure to remove the uterus and sometimes other reproductive organs. It can be performed abdominally through an incision in the abdomen, vaginally through the vagina, or laparoscopically through small incisions using specialized instruments.
2. Over 600,000 hysterectomies are performed annually in the US, most commonly to treat benign conditions like fibroids, endometriosis, or uterine prolapse. The preferred method is vaginal hysterectomy when possible due to faster recovery.
3. Risks of hysterectomy include earlier menopause, increased risks of cardiovascular disease and osteoporosis, as well as potential short-term risks like infection,
Notes presentation
This document discusses Natural Orifice Transluminal Endoscopic Surgery (NOTES), a new surgical technique. NOTES involves performing surgery using an endoscope inserted through natural openings like the mouth, vagina, or anus without external incisions. The document provides a brief history of NOTES, describes some procedures that have been performed, and discusses potential advantages as well as challenges to further development and acceptance of the technique.
Vaginal Hysterectomy
In this introductory remark at workshop on vaginal hysterectomy where Dr Shirish Seth was operating faculty.
I spoke “lets promote and propagate vaginal hysterectomy which is an indigenous surgery in line with PM Modi’s mission of MAKE IN INDIA.
Vaginal hysterectomy is like Aam admi surgery which is in the best interest of patients and has best scientific evidences in its favour."
Let us not be driven by glamour,gadgets and gimmicks."
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Notes by dr mahipal
NOTES (Natural Orifice Transluminal Endoscopic Surgery) is an experimental surgical technique that performs operations through natural openings in the body without external incisions. This avoids scarring and reduces recovery time. NOTES procedures first began in the 1980s and have included cholecystectomies, appendectomies, and other abdominal surgeries. While still being developed, NOTES may eventually allow many operations to be done as outpatient procedures with even faster recovery times compared to laparoscopic surgery.
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Periop nursing july2011
Perioperative nursing involves care during the preoperative, intraoperative, and postoperative phases of surgery. The preoperative phase includes preparation like fasting, medication review, consent, and teaching. During surgery, nurses maintain asepsis, monitor the patient, and assist the surgeon. After surgery, patients recover in the postoperative phase. Common surgeries discussed include appendectomy, mastectomy, hysterectomy, and joint replacement. Positioning and skin preparation are important intraoperative responsibilities for perioperative nurses.
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Georg Kelling first introduced experimental laparoscopic procedures in 1901, though it took several decades for laparoscopy to become widely adopted. Laparoscopic surgery has significant short-term benefits over open surgery such as less postoperative pain, shorter hospital stays, and faster return to normal activities. However, long-term outcomes like cancer survival rates have not been conclusively shown to be equivalent. Robotic surgery systems were later developed to address some limitations of laparoscopy like loss of tactile feedback and ergonomic challenges, providing benefits such as 3D visualization, tremor filtering, and improved instrument maneuverability. Both laparoscopic and robotic procedures require special considerations regarding patient selection, trocar placement, hemostasis, and potential
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Georg Kelling first introduced experimental laparoscopic procedures in 1901, though it took several decades for laparoscopy to become widely adopted. Laparoscopic surgery has significant short-term benefits over open surgery such as less postoperative pain, shorter hospital stays, and faster return to normal activities. However, long-term outcomes like cancer survival rates have not been conclusively shown to be better. Robotic surgery systems were later developed to address some limitations of laparoscopy like loss of tactile feedback and ergonomic challenges, providing benefits such as 3D visualization, tremor filtering, and improved dexterity. Both laparoscopic and robotic procedures require special considerations regarding patient preparation, trocar placement, hemostasis, and potential complications
Referring physicians presentation short
This document discusses hysterectomy procedures for benign gynecologic conditions. It notes that approximately 525,000 hysterectomies are performed annually in the US, often for conditions like fibroids, abnormal bleeding, and endometriosis. A significant portion of these procedures are complex due to factors like prior surgery, obesity, or presence of masses. The da Vinci robotic surgical system allows gynecologists to perform complex hysterectomies minimally invasively. Compared to open surgery, da Vinci hysterectomy provides benefits to both patients and surgeons such as less pain, blood loss, and recovery time as well as improved surgical capabilities. Robotic surgery allows more patients, especially those with higher BMI, to benefit
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The document summarizes Dr. Richard Demir's activities as the Director of Ultrasound, Gynecology & Obstetrics at Desert Women's Care. It discusses his clinical, administrative, philanthropic, publishing, and teaching activities. It focuses on his commitment to minimally invasive surgery techniques and Desert Women's Care's minimally invasive surgery program for conditions like pelvic relaxation, adnexal masses, fibroids, and hysterectomies. It also describes their multidisciplinary pelvic pain program.
NOTES (Natural Orifice Transluminal Endoscopic Surgery)- By Dr. Onkar
Natural Orifice Transluminal Endoscopic Surgery (NOTES) is an experimental surgical technique that performs abdominal operations through natural orifices like the mouth, urethra, anus or vagina without external incisions. NOTES aims to reduce surgical trauma and pain for patients by avoiding incisions. It also shortens recovery time and eliminates risks of complications from external incisions like infections and hernias. While still in development, NOTES shows promise as a less invasive future of surgery.
Laparoscopy and Laparoscopic Surgery
Today, Laparoscopy is an alternative technique for carrying out many operations that have traditionally required an open approach. The benefits of minimal access surgery have been well recorded, including lower post-operative morbidity, shorter duration of hospital stay and a shorter return to work.
Cin managment
This document discusses the management of cervical intraepithelial neoplasia (CIN). It covers who and when to treat CIN, treatment options including cryotherapy, laser vaporization, loop electrosurgical excision procedure, and conization. It provides guidance on treatment based on CIN grade, patient characteristics like pregnancy, and risk factors. The main treatment goals are prompt treatment of CIN 2-3 while allowing regression of many CIN 1 cases. Complications, reproductive outcomes, and prognosis after treatment are also reviewed.
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The impact of the new technologies in surgeryy: lights an shadows
The impact of the new technologies in surgeryy: lights an shadows
NOTES (Natural Orifice Transluminal Endoscopic Surgery)- By Dr. Onkar
NOTES (Natural Orifice Transluminal Endoscopic Surgery)- By Dr. Onkar
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This document discusses osteoporosis and menopause. It defines osteoporosis as a skeletal disorder characterized by compromised bone strength, which increases the risk of fractures. Key risk factors for osteoporosis include being postmenopausal, having a family history, lack of exercise, low calcium intake, vitamin D deficiency, smoking, and certain medical conditions or medications. The document reviews guidelines for testing and treating osteoporosis, including using bone mineral density (BMD) tests and the FRAX score to determine treatment. Lifestyle changes like exercise, calcium/vitamin D intake, and avoiding smoking are recommended to improve bone health. The document also discusses medications used to treat osteoporosis such as
Future Directions in Endometriosis Management 11.04.2021.pptx
Dr. Kawita Bapat's document discusses future directions in endometriosis management. It provides an overview of endometriosis, including sites of occurrence, symptoms, diagnosis, and current treatment approaches. The document also discusses newer treatment options such as elagolix, ulipristal, and resveratrol. Finally, it outlines criteria for an ideal future medication to treat endometriosis, including being curative rather than suppressive and having an acceptable side effect profile.
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Surgical skill is developed, not innate. Experts demonstrate superior performance through various skills compared to non-experts. While innate abilities are important, training, determination, practice and experience are necessary to develop surgical expertise according to the literature. Surgical education aims to cultivate technical and non-technical skills through simulation, feedback and deliberate practice to efficiently develop expert surgeons. Both innate qualities and targeted training are required to make a surgeon.
Screen and treat
This document discusses screening and treating cervical cancer in a single visit. It provides details on Dr. Kawita Bapat's qualifications and experience in gynecology. It then outlines the benefits of visual inspection with acetic acid (VIA) screening and immediate cryotherapy treatment for VIA-positive women. Several studies have found this single visit approach to be effective at reducing cervical intraepithelial neoplasia. The document advocates for expanding single visit screen and treat programs in India according to WHO and government of India guidelines.
Screening when where why
Dr. Kawita Bapat is an OBGYN in Indore, India. She has extensive experience and qualifications in gynecology. Breast cancer rates are rising in India due to changes in lifestyle factors such as diet, reproduction patterns, and economic development. Currently, the breast cancer incidence rate in India is 19.1 per 100,000 people annually, which is lower than developed countries but peaks at a younger age. Many cases present at late stages with limited treatment options. Screening and awareness need to be improved to enhance early detection and survival rates.
Shoulder dystocia
Shoulder dystocia is a difficult childbirth where the baby's shoulders get stuck after delivery of the head. It requires additional obstetric maneuvers to free the shoulders and is considered an obstetric emergency. Risk factors include macrosomia, diabetes, and previous history of shoulder dystocia, but it can occur unpredictably. Upon diagnosis, maneuvers like gentle downward traction, McRoberts maneuver, suprapubic pressure, and in some cases internal podalic version must be performed efficiently to deliver the baby without harm while also avoiding unnecessary trauma.
Retained placenta
The document defines and discusses retained placenta, which occurs when the placenta is not expelled from the uterus within 30 minutes of delivery. There are several potential causes of retained placenta, including failure of the placenta to separate fully from the uterine wall due to issues like uterine atonicity. Management involves controlling bleeding if present and attempting controlled cord traction or manual removal of the placenta in the operating room if needed. Leaving the placenta retained poses risks like severe bleeding.
Puberty menorrhagia dr. kawita bapat
This document discusses abnormal uterine bleeding (AUB) or menorrhagia in puberty. It lists various potential causes of AUB including anovulation, polyps, adenomyosis, leiomyoma, and bleeding disorders. Anovulation due to an immature hypothalamic-pituitary-ovarian axis is the most common cause. The document provides guidelines on evaluating AUB, including taking a detailed history, physical exam, lab tests, and ultrasound. Differential diagnoses are discussed. Bleeding disorders are more commonly platelet dysfunction disorders in Southeast Asia, unlike the West where Von Willebrand disease is more common.
Chronic pelvic pain kawita bapat
The document discusses chronic pelvic pain, including its physiology, causes, diagnosis, and treatment challenges. It notes that the definitive cause is often not determined, and that non-gynecological sources like urinary and gastrointestinal issues are more common than previously believed. A thorough history and multidisciplinary approach are important to properly assess and manage chronic pelvic pain of unknown origin.
Circlage
This document provides definitions and guidelines for different types of cervical cerclage (cervical suture). It discusses history-indicated, ultrasound-indicated, and rescue cerclage. It recommends offering history-indicated cerclage to women with three or more previous preterm births/losses, but not for those with two or fewer. Ultrasound-indicated cerclage is not recommended for women without risk factors who have a short cervix found incidentally. Rescue cerclage may delay delivery by 5 weeks on average but has a high chance of failure. Risks discussed include maternal pyrexia, but not increased preterm birth or PPROM. Informed consent should include these potential risks
Episiotomy
1. An episiotomy is a surgically planned incision made in the perineum during the second stage of labor to enlarge the vaginal opening and facilitate delivery while minimizing perineal tearing.
2. It is most commonly done for primigravid women, those with a rigid perineum, or those requiring forceps delivery or breech birth.
3. The incision is usually mediolateral, extending from the midline outwards, and is repaired in three layers to close the vaginal mucosa, perineal muscles, and skin separately.
Postpartum psychosis
Postpartum psychosis is a severe mental illness that develops within the first 3 months after childbirth. It is a psychiatric emergency requiring specialist care. Risk factors include a family or personal history of mental illness, hormonal changes after delivery, and lack of social support. Symptoms include hallucinations, delusions, confusion, and mood disturbances. Management involves rapid hospitalization, medication, counseling, and ensuring the safety of the mother and baby. Breastfeeding is usually contraindicated during treatment.
Postpartum haemorrhage
Postpartum hemorrhage is a leading cause of maternal mortality. Uterine atony accounts for 95% of cases. The 4Ts framework is used to evaluate causes: Tone (uterine atony), Tissue (retained placenta), Trauma (lacerations), and Thrombin (coagulopathy). Prevention focuses on active management of the third stage of labor using uterotonics like oxytocin and ergometrine. Management involves assessing blood loss, vital signs, and treating the underlying cause, such as through uterine massage, manual exploration, additional uterotonics, or surgical interventions if needed.
Positive attitude
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
OT Check List
The document provides an operating theatre (OT) checklist to help ensure patient safety during surgical procedures. It lists several checks that the operating team should complete in the ward and theatre before surgery, including correctly identifying the patient, marking the intended surgical site, checking for allergies and previous medical history, and confirming critical patient information has been exchanged. The goal is for the team to operate on the right patient and site, take appropriate precautions, and communicate effectively to safely conduct the surgery and prevent errors.
Obstetrics sepsis
This document discusses obstetric sepsis. It begins by defining sepsis and its spectrum from SIRS to septic shock. Common causes of obstetric sepsis include septic abortion, PROM, chorioamnionitis, and postpartum endometritis. Common organisms include E. coli, Klebsiella, streptococci, and staphylococci. Sepsis causes a systemic inflammatory response and release of inflammatory mediators that can lead to endothelial dysfunction, organ damage, and septic shock. Management involves controlling infection with antibiotics, removing the infection source, and providing supportive care like fluid resuscitation and vasopressors. Specific treatments depend on the type and severity of infection.
Kawita bapat lumps and bumps breast
The document discusses breast lumps and imaging modalities for evaluation. It presents 8 cases of patients presenting with breast lumps and the findings from imaging and biopsy. Key recommendations include: ultrasound for patients under 30, ultrasound plus mammogram for patients 30-50, mammogram for patients over 50; ultrasound guidance is necessary for all biopsies; early detection through screening can reduce mortality with self exams after 20, clinical exams after 30 and mammograms based on age.
Kawita bapat nipple oozes when to worry and why ?
This document discusses a case of a 35-year-old female presenting with cyclical mastalgia, palpable small lumps, and bilateral greenish nipple discharge. Sonomammography revealed benign findings suggestive of fibrocystic disease, including stromal hyperplasia, adenosis, and multiple small cysts consistent with Schimmelbusch disease. Nipple discharge cytology showed foamy histiocytes and duct epithelial cells without malignant cells. Fibrocystic disease with a blue dome cyst was diagnosed, and painful cysts can be aspirated for symptom relief as simple cysts do not require intervention.
Kawita bapat breast health & infertility
This document discusses breast health, risk factors for breast cancer, lifestyle choices that can reduce breast cancer risk, and fertility preservation and treatment options for women diagnosed with breast cancer. It notes that breast cancer risk depends on factors like age, type of cancer therapy received, and baseline fertility status. For women who may want children in the future, it recommends discussing fertility preservation options like egg or embryo freezing with healthcare providers before starting cancer treatment. Overall, the document provides an overview of considerations and options regarding fertility for women facing a breast cancer diagnosis.
Kawita bapat breast feeding mother in special need
Breastfeeding is recommended for mothers with special needs with some precautions. Cesarean delivery mothers should breastfeed within 4 hours of delivery to help establish lactation. Mothers with illnesses like heart disease, hepatitis B, or thyroid dysfunction can breastfeed with additional support and monitoring. Some medications are compatible with breastfeeding like warfarin, chloroquine, and category A and B drugs when the benefits outweigh the risks and amounts in breastmilk are minimal. Pumping and proper medication timing can minimize risk to infants from maternal medications and conditions.
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For Upcoming Meetups Join Mysore Meetup Group - https://meetups.mulesoft.com/mysore/YouTube:- youtube.com/@mulesoftmysore
Mysore WhatsApp group:- https://chat.whatsapp.com/EhqtHtCC75vCAX7gaO842N
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Shivani Yasaswi - https://www.linkedin.com/in/shivaniyasaswi/
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Shubham Chaurasia - https://www.linkedin.com/in/shubhamchaurasia1/
Giridhar Meka - https://www.linkedin.com/in/giridharmeka
Priya Shaw - https://www.linkedin.com/in/priya-shaw
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one day hysterectomy
- 1. Minimally Invasive Vaginal Hysterectomy NEED OF THE TIME DR. KAWITA BAPAT One Day hysterectomy
- 2. BAPAT HOSPITAL INDORE One Day hysterectomy
- 3. “ Technological change is like an axe in the hands of a pathological criminal.” Albert Einstein One Day hysterectomy
- 9. Modern Technology One Day hysterectomy
- 27. MIVH Height of cost cutting One Day hysterectomy
- 30. One Day hysterectomy Sufficiently advanced technology is indistinguishable from magic Thankyou