3. INTRODUCTION • Preoperative care is the preparation and management of a patient prior to surgery. • It includes both physical and psychological preparation. • Surgical treatment of the patients with gynecologic diseases is warranted only when all the conservative treatment approaches have been exhausted. 4 Upcoming SlideShare. Loading in After the procedure CO2 gas must be evacuated completely to reduce post-operative pain In operative procedures: - 1 or 2 bottles of Ringer's lactate are used to wash the peritoneal cavity after laparoscopy. - Leave 500/1000 cc of ringer's lactate to reduce the incidence of post operative pain PRE-OPERATIVE INVESTIGATIONS IN GYNAECOLOGY• Complete blood count• Urinalysis• FBS,PPBS• BT,CT• Blood group and Rh factor• RFT• LFT• Serology- VDRL• Serum electrolytes-Na,K,Cl,HCO3• Chest radiograph• ECG• IVP 49. • Tumour markers1. CA-125-Adenocarcinoma ovary2 Basics of laparoscopy - Procedure During the operative procedure • 1 or 2 bottles of Ringer's lactate are used to wash the peritoneal cavity after laparoscopy. • Leave 500/1000 ml of ringer's lactate to reduce the incidence of post operative pain. After the procedure • CO2 gas must be evacuated completely to reduce post-operative pai DIAMETERS OF LAPaROSCOPE 1. 10mm-Most commonly used for operative as well as Diagnostic purpose. 2. 5mm- Mainly used for diagnostic purpose , can be used for operative purpose. 3. < 5mm- Very delicate MINIlaparoscopy mainly used in children (1.1mm) Diagnostic purpose also in operative purpose. 17
Pre- and post-operative care is as vital to the patient as is surgery. Adequate pre-operative preparation of the patient, both physically and psychologically, is important to provide optimum intra-operative conditions, and lays the basis for a smooth post-operative recovery. A well-planned post-operative care regimen leads to a reduction in. Advancing Patient Recovery with Post-operative Care (1) - Post-operative care involves the care received after a surgical procedure and often includes pain management and wound care as part of the healing process. It may continue even after the patient's discharge, therefore, it is imperative for the provider to teach the patient about the potential side effects and complications of the. High Not included in the classification as operative vaginal delivery is not recommended in this situation where the head is 2/5th or more palpable abdominally and the presenting part is above the level of the ischial spines Adapted from the American College of Obstetrics and Gynecology, 200023 Evidence level 2-Evidence level operative period. See the above section on Postoperative Fever for descriptions. Although atypical, respiratory distress may be the only presenting symptom of a heart attack, especially in elderly women and diabetics. Aspiration can occur when gastric contents reflux beyond the esophagus and enter th
. Handa. Buy a discounted Hardcover of Te Linde's Operative Gynecology 12th Edition. Download the Medical Book: Te Linde's Operative Gynecology 11th Edition PDF For Free. This Website Provides Free Medical Books COMPLICATIONS OF HYSTEROSCOPY. Complications from hysteroscopy are relatively rare events. They occur more frequently with operative hysteroscopy than with diagnostic hysteroscopy and are least frequent with flexible fiberoptic hysteroscopy. In the 1993 survey by the American Association of Gynecologic Laparoscopists (AAGL), there were 14,707.
PREOPERATIVE AND POSTOPERATIVE MANAGEMENT IN GYNECOLOGY. GEORGE H. GARDNER, M.D. Author Affiliations. CHICAGO. From the Department of Obstetrics and Gynecology, the Northwestern University Medical School, and the Gynecologic Service of the Passavant Memorial Hospital The development of surgical site infection (SSI) remains the most common complication of gynecologic surgical procedures and results in significant patient morbidity. Gynecologic procedures pose a unique challenge in that potential pathogenic microorganisms from the skin or vagina and endocervix may migrate to operative sites and can result in vaginal cuff cellulitis, pelvic cellulitis, and. OBGYN LECS - FLAME. UPDATE 3/27/20 - New FLAMEs on RH alloimmunization are now available! The FLAME team is always expanding. Please contact us via the contact page to the left if you would like to join us in creating or editing content OR helping pioneer our podcast project! - Steller. . AVAILABLE FLAME LECTURES: UNIT 1: APPROACH TO THE PATIENT
Stepp et al. examined the charts of 267 women ≥ 75 years undergoing gynecologic procedures for pelvic floor disorders with a prevalence of postoperative complications of 24% and a one year mortality of 1.1%. Operative time, peripheral vascular disease, and known coronary artery disease were identified by Stepp et al. as predictors of. An important part of a quality management system is structured data collection permitting regional benchmarking between hospitals. The study 'Quality assurance in gynecological surgery' of the German Society of Gynecology and Obstetrics is mentioned as an example of such an external measure. Profiles help gynecological care units to recognize. Pre-operative preparations begin once the surgeon has placed the patient on the waiting list. Objectives. The aim of pre-operative preparations is to have the woman in the optimum psychological and physical condition at the time of surgery. The time spent pre-operatively is amply repaid in smoother, quicker post-operative recovery In gynecology, heavy menstrual flow is often the culprit causing a woman's anemia. Suppression of menses with oral progestins, depomedroxy progesterone acetate (DMPA), gonadotropin-releasing hormone (GnRH) agonists, or oral contraceptives is recommended before surgery. If the patient needs a blood transfusion, packed red blood cells are. Background: The objective was an evaluation of operative time and estimated blood loss (EBL) as a function of experience in gynaecological robotic surgery. Method: A retrospective analysis of 40 consecutive cases (approximately one case/week) over a 1 year period using the da Vinci) robotic system was performed, using data from two institutions, Newark Beth Israel Medical Center and Hackensack.
Intraoperative Cholangiogram Chasen A. Croft Dawood G. Dalaly DEFINITION Intraoperative cholangiography (IOC) is the use of radiography with contrast media injected directly into the biliary tree to determine biliary anatomy, assess the biliary tree for obstructive processes, and to evaluate for potential injury to the biliary tract. PATIENT HISTORY AND PHYSICAL FINDINGS Many surgeons routinel . Doctors perform dilation and curettage to diagnose and treat certain uterine conditions — such as heavy bleeding — or to clear the uterine lining after a miscarriage or abortion
Postoperative pain management in the postanesthesia care unit: an update Jie Luo, Su Min Department of Anesthesiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, People's Republic of China Abstract: Acute postoperative pain remains a major problem, resulting in multiple undesirable outcomes if inadequately controlled Odejinmi F, Sangrithi M, Olowu O. Operative laparoscopy as the mainstay method in management of hemodynamically unstable patients with ectopic pregnancy. J Minim Invasive Gynecol . 2011 Mar-Apr. ABOUBAKR ELNASHAR. 31. GnT regimens: 50-75 IU 14 days 7 days Chronic low dose step-up: Start with 50 - 75 IU/day for 14 days. Increase by 25-37.5 every 7 days until follicular development is observed. Maintained until follicular selection is achieved. Recommended in PCOS (low OHSS). ABOUBAKR ELNASHAR 2 Chart and Diagram Slides for PowerPoint - Beautifully designed chart and diagram s for PowerPoint with visually stunning graphics and animation effects. Our new CrystalGraphics Chart and Diagram Slides for PowerPoint is a collection of over 1000 impressively designed data-driven chart and editable diagram s guaranteed to impress any audience
medications will be provided at your pre-operative appointment. Department of Obstetrics and Gynecology (734) 763-6295 - 1 - • Smoking can affect your surgery and recovery. Smokers may have difficulty breathing during the surgery and tend to heal more slowly afte OBSTETRICS AND GYNECOLOGY (OB-GYN) PATIENT CARE Obstetrics and gynecology is one specialty area in which nurses can positively influence women's health and operative outcomes. Women seek or require specialized OB-GYN surgical care for many reasons. These include, but are not limited to, pregnancy termination, infertilit
Obstetrics & Gynecology Names New Editor in Chief. Coming soon: double-blind peer review Published Ahead-of-Print: the August issue is now available. On the July 2021 cover: Ultrasound imaging of a bicornuate uterus shows evidence of unilateral adenomyosis. Disease is present in one horn, while the other horn is ultrasonographically normal Selected as a Doody's Core Title for 2021!Te Linde's Operative Gynecology, Twelfth Edition, remains your authoritative resource on the comprehensive perioperative care of gynecologic patients. New features in this edition include a primer on anesthesia, a chapter on positioning for pelvic surgery, a practical review of pediatric gynecology, and a section on the use of surgical instruments Hysteroscopy is a procedure that can be used to both diagnose and treat causes of abnormal bleeding. The procedure allows your doctor to look inside your uterus with a tool called a hysteroscope. This is a thin, lighted tube that is inserted into the vagina to examine the cervix and inside of the uterus Assisted Vaginal Birth (Green-top Guideline No. 26) This guideline provides evidence-based information on the use of forceps and vacuum extractor for both rotational and non-rotational operative vaginal deliveries. Access the PDF version of this guideline. This update was undertaken as part of the regular updates to Green-top Guidelines as. Myometrial relaxants. Salbutamol solution for intravenous infusion 5mg/5ml. Nifedipine capsules 5mg, 10mg - Three times daily preparations. (only for Raynaud's, achalasia and pre-term labour [unlicensed]) Drugs used to modify uterine contractions . These include oxytocic drugs used to stimulate uterine contractions both in induction of labour.
Diagnostic procedures in gynecology Last updated: December 3, 2019. Summary. A complete gynecological examination includes inspection of the vagina with the aid of a speculum and, if needed, colposcopy and bimanual palpation. Speculum examination is also used to facilitate obtaining smears for cytological and microbiological studies. Depending. This article reviews the applications of robotic surgery in gynecology and presents a summary of the early studies that have been performed regarding its use for hysterectomy, myomectomy, reproductive surgery, pelvic floor reconstruction, and gynecological cancer staging. Despite significant advance
A critical analysis of the surgical treatment of fibroids compares all available techniques of myomectomy. Different statistical analyses reveal the advantages of the laparoscopic and hysteroscopic approach. Complications can arise from the location of the fibroids. They range from intermittent bleedings to continuous bleedings over several weeks, from single pain episodes to severe pain, from. Michael C. Milano, MD, FACOG, specializes in a wide range of gynecologic care, including infertility, hormone therapy, and menopause. Dr. Milano is adept at minimally invasive gynecologic surgery, cosmetic vaginal surgery, and bio-identical hormone therapy. Currently he is evaluating the newly approved Acessa device for uterine fibroid ablation Many have written on surgical technique in plastic surgery 4, 5; however, few have attempted to consolidate this information into a series of operative principles. In addition to the general principles previously outlined, we offer 15 fundamental operative principles that we believe are broadly applicable to the practice of plastic surgery today
Introduction and Background. Placenta accreta is defined as abnormal trophoblast invasion of part or all of the placenta into the myometrium of the uterine wall 1.Placenta accreta spectrum, formerly known as morbidly adherent placenta, refers to the range of pathologic adherence of the placenta, including placenta increta, placenta percreta, and placenta accreta Tubectomy or Tubal Sterilization, is a major surgical procedure that refers to blocking of the female Fallopian tubes, preventing the eggs from reaching the uterus for implantation.The tubes, roughly 10 cm long are attached to either side of the uterus. During the surgery the tubes are cut open, tied or clipped at a particular point. It is a permanent process of birth control and sterilization Obstetric fistula is a medical condition in which a hole develops in the birth canal as a result of childbirth. This can be between the vagina and rectum, ureter, or bladder. It can result in incontinence of urine or feces. Complications may include depression, infertility, and social isolation.. Risk factors include obstructed labor, poor access to medical care, malnutrition, and teenage. .Lachiewicz, 1 LauraJ.Moulton, 2 andOluwatosinJaiyeoba 2 Department of Gynecology and Obstetrics, Emory University School of Medicine,Pierce Drive, th Floor WMB, Atlanta
A failure of the valve and muscles at the distal end of the esophagus to relax and a lack of pumping or peristaltic activity within the esophagus is referred to as achalasia. This dysfunction of the esophagus can lead to difficulty swallowing and frequent regurgitation of food. With the correct diagnosis, which involves imaging the. The Bell's phenomenon, also called the palpebral-oculogyric reflex, refers to the movement of the eyeballs in an upward direction when the eyelids are forcefully closed Placenta praevia is where the placenta is fully or partially attached to the lower uterine segment.It is an important cause of antepartum haemorrhage - vaginal bleeding from week 24 of gestation until delivery. In this article, we shall look at the pathophysiology, clinical features and management of placenta praevia When the duct of the Bartholin glands gets blocked, the fluid gets accumulated and causes the gland to swell and form a cyst, which is termed as a Bartholin gland cyst. However, a Bartholin Gland Abscess or Bartholin's Abscess occurs due to infection of the gland. The condition is typically seen in women who are in their reproductive age
The physiology of intrapartum fetal compromise at term. Uterine contractions in labor result in a 60% reduction in uteroplacental perfusion, causing transient fetal and placental hypoxia. A healthy term fetus with a normally developed placenta is able to accommodate this transient hypoxia by activation of the peripheral chemoreflex, resulting. Operative time was categorized as a dichotomous variable above and below the 75th percentile, based on previous work by Culver et al, 11 who demonstrated that operative time of >75th percentile is a risk factor for SSI. For hysterectomies in the ACS NSQIP dataset, the operative time of >75th percentile was 149 minutes
Deja Review: Obstetrics & Gynecology boils down your coursework to just the critical concepts you need to know for exam success. This unbeatable guide features a quick-read, two-column, flashcard in a book Q&A format. - specifically designed to help you remember a large amount of pertinent information in the least amount of time possible .com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6963 interlinked topic pages divided into a tree of 31 specialty books and 737 chapters Pre-operative assessment is necessary prior to the majority of elective surgical procedures, in order to ensure that the patient is fit to undergo surgery, to highlight issues that the surgical or anaesthetic team need to be aware of during the peri-operative period, and to ensure patients' safety during their journey of care How To Download From Filesdo.com How To Download From Uptobox.com How To Download From Sociadrive.com How To Download From Nitroflare.com How To Download From Micloudfiles.co
Complications of postpartum hemorrhage are listed in Table 13,6,7; these range from worsening of common postpartum symptoms such as fatigue and depressed mood, to death from Postpartum hemorrhage (PPH) is commonly defined as blood loss exceeding 500 mL following vaginal birth and 1000 mL following cesarean 2 contents s.no. topic page no. 1 leiomyoma uterus/fibromyoma/fibroid uterus 5 2 ante partum haemorrhage 13 3 abruptio placenta 18 4 cardiac disease in pregnancy 28 5 dysfunctional uterine bleeding 41 6 ectopic pregnancy 48 7 anemia in pregnancy 55 8 diabetes and pregnancy 67 9 carcinoma cervix 74 10 adnexal mass 79 11 caesarean section 84 12 hypertension in pregnancy/preeclampsia 8 PowerPoint Presentations & Lectures on Obstetrics and Gynecology . Compiled by Dr Mansoor Ali An appeal: If any of you have PowerPoint presentations please mail to firstname.lastname@example.org. Broken links if any please report. Homoeopathy in menstrual abnormalities - Dr. G. Umarani. Antenatal care and Homoeopathy - Dr V Priyanka . Normal Puerperium - Dr Pallavi A Patl Operative Vaginal Delivery. Operative vaginal delivery involves application of forceps or a vacuum extractor to the fetal head to assist during the 2nd stage of labor and facilitate delivery. Indications for forceps delivery and vacuum extraction are essentially the same: Need to shorten the 2nd stage for maternal benefit—eg, if maternal.
Operative Gynecology. This a popular gynecology includes comprehensive coverage of current technologies such as laser procedures, techniques in tubal surgery, and surgical aspects of reproductive technologies.Organized according to the conventional division of benign gynecology, reproductive endocrinology, and gynecologic oncology CTG interpretation SlideShare CTG - SlideShar with unnecessary operative intervention for f distress. 50% of fetuses with an abnormal CTG will be hypoxic and acidotic but 50% will be OK CTG should always be interpreted in its clinical. one of its limitations is the modest interobserver agreement in CTG interpretation 1-5.The.
Responses are measured on a scale of 1 to 5, with 5 being the best score. 4.8 out of 5 (914 Ratings) Obstetrics and Gynecology. Accepting new patients. Appointments: Call 973-436-1410. Book Appointment Online e168 VOL. 130, NO. 4, OCTOBER 2017 OBSTETRICS & GYNECOLOGY Postpartum Hemorrhage Maternal hemorrhage, defined as a cumulative blood loss of greater than or equal to 1,000 mL or blood loss accom- panied by signs or symptoms of hypovolemia within 24 hours after the birth process, remains the leading cause o
A Comprehensive Textbook of Obstetrics and Gynecology : 1/e Sadhana Gupta 9789350251126 An Operative Manual of Proximal Femoral Fractures (Includes Interactive DVD_ROM) 1/e Dhananjay Gupta, Sumit Banerjee 9789351524854. A mastectomy is an umbrella term used for several techniques to remove one or both breasts. In addition, the surgeon may also remove nearby lymph nodes to determine whether the cancer has spread. During an axillary node dissection, the surgeon removes a number of lymph nodes from your armpit on the side of the tumor Vaginal Atresia. Vaginal atresia is a condition in which part of the vagina fails to canalize and is therefore closed or absent. It occurs in about 1 in 5,000 births. The most common cause is. A uterine fibroid (known medically as a leiomyoma or myoma) is a noncancerous (benign) growth of smooth muscle and connective tissue.Fibroids can range in size from as small as a pinhead to larger than a melon. Fibroids have been reported weighing more than 40 pounds
If you're not familiar with the lingo, medical terminology can leave your head spinning. Whether you're considering entering the medical field or you're just trying to navigate the newest medical show, it can be hard to keep up with the at-times alien sounding array of technical terms, abbreviations and jargon that gets used Pelvic organ prolapse is the abnormal descent or herniation of the pelvic organs from their normal attachment sites or their normal position in the pelvis. The pelvic structures that may be involved include the uterus ( uterine prolapse) or vaginal apex (apical vaginal prolapse), anterior vagina (cystocele), or posterior vagina ( rectocele ) The third stage of labor is an unpredictable time. It ought to be a period of rest and rejoicing after the birth of the baby if all has gone well so far, but in thousands of women it can become.
A gastrostomy is a surgical procedure used to insert a tube, often referred to as a G-tube, through the abdomen and into the stomach. Gastrostomy is used to provide a route for tube feeding if needed for four weeks or longer, and/or to vent the stomach for air or drainage. Children may have this procedure if they are in need of an intestine. Supracondylar humerus fractures are the most common elbow fractures in the pediatric population. Type I fractures are managed nonsurgically, but most displaced injuries (types II, III, and IV) require surgical intervention. Closed reduction and percutaneous pinning remains the mainstay of surgical m hnology have allowed for real-time tracking of instruments and implants. Together, these innovations have given rise to intraoperative navigation systems. The authors review these advances in intraoperative navigation across orthopaedic subspecialties, focusing on the most recent evidence on patient outcomes and complications, the associated learning curve, and the effects on operative time. Counseling and treating women who become pregnant after bariatric surgery present unique challenges. Although outcomes are generally good, nutritional and surgical complications can arise. The.