SONOSALPINGOGRAPHY STEPS BY LATE DR SAKSHI

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NARENDRA MALHOTRA

HOPE THIS WILL HELP ALL PRESENTATION MADE BY YOUNG SAKSHI OUR FAVORITE IMAGING SPECIALIST WHO WE LOST DUE TO CANCER

Health & Medicine

DR SAKSHI TOMAR
MD, DNB (RADIODIAGNOSIS)
SANJAY PATHOLOGY CENTRE
LAKHIMPUR KHERI UP

 Evaluation of the tubal patency and visualization of
the endometrial cavity
 6-9 days
 Analgesic
 Empty Bladder
 8 F Foley’s Catheter. Bulb distended with 2.5- 3ml
saline
 SSG Fluid (apx 20ml)
-Normal Saline
-Saline agitated with air
-Metrogyl
-Ciplox, steroid, hylase
-Echovist/Levovist & SonoVue
 Prophylactic Antibiotics

 Ionizing Radiation
 Contrast agent used
are irritant and may
be allergic
 Uterine musculature,
ovaries and adnexae
not visualized
 False positive cornual
blocks
 Ambience not so
comfortable
 Small endo polyp,
submucus fibroids
and cong uterine
abnormalities better
seen with SSG

 SAFE & NONINVASIVE
 OPD PROCEDURE
 EASY TO PERFORM
 WELL TOLERATED
 RESULTS ARE REPRODUCIBLE
 MILD PAIN
 SENSITIVITY AND SPECIFICITY OF APX 80%
IN MOST STUDIES
 TUBAL SPASM

 PREGNANT OR MAY BE PREGNANT
 ACUTE PELVIC INFECTION
 UNEXPLAINED PELVIC TENDERNESS

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SONOSALPINGOGRAPHY STEPS BY LATE DR SAKSHI

1. DR SAKSHI TOMAR MD, DNB (RADIODIAGNOSIS) SANJAY PATHOLOGY CENTRE LAKHIMPUR KHERI UP

5.  Evaluation of the tubal patency and visualization of the endometrial cavity  6-9 days  Analgesic  Empty Bladder  8 F Foley’s Catheter. Bulb distended with 2.5- 3ml saline  SSG Fluid (apx 20ml) -Normal Saline -Saline agitated with air -Metrogyl -Ciplox, steroid, hylase -Echovist/Levovist & SonoVue  Prophylactic Antibiotics

10.

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12.  Ionizing Radiation  Contrast agent used are irritant and may be allergic  Uterine musculature, ovaries and adnexae not visualized  False positive cornual blocks  Ambience not so comfortable  Small endo polyp, submucus fibroids and cong uterine abnormalities better seen with SSG

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28.  SAFE & NONINVASIVE  OPD PROCEDURE  EASY TO PERFORM  WELL TOLERATED  RESULTS ARE REPRODUCIBLE  MILD PAIN  SENSITIVITY AND SPECIFICITY OF APX 80% IN MOST STUDIES  TUBAL SPASM

29.  PREGNANT OR MAY BE PREGNANT  ACUTE PELVIC INFECTION  UNEXPLAINED PELVIC TENDERNESS

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36. THANK YOU

SONOSALPINGOGRAPHY STEPS BY LATE DR SAKSHI

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