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11 Cards in this Set
- Front
- Back
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What are some of the contraindications of laparoscopy?
(objective) |
Intestinal obstruction
Hemodynamic instability Extensive intra-abdominal scarring |
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What are the indications of laparoscopy
(objective) |
Sterilization
Evaluation for Chronic pelvic pain and endometriosis Hysterectomy Ectopic pregnancy Expanding with minimally invasive surgery |
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describe open laproscopy
(objective) |
uses open dissection and Hassan trocar
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describe closed laproscopy
(objective) |
uses veres needle and optical ports
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what are some of the injuries that can occur due to laproscopic injury
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Electrical injuries
Thermal injuries Vasculature Bowel Bladder Ureter |
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in females, what is water under the bridge
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ureter under the uterine artery
note: in males it is ureter under the vas deferens |
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indication of hysteroscopy?
(objective) |
Repetitive abnormal uterine bleeding
Recurrent pregnancy loss Uterine synechiae Removal of IUD Ablation of the endometrium Sterilization Polypectomy or myomectomy Incision of uterine septum |
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contraindications of hysteroscopy?
(objective) |
Unfamiliarity with equipment, instruments, or technique
Lack of appropriate equipment or staff familiar with the equipment Acute pelvic inflammatory disease PregnancyïGenital tract malignancies Lack of informed consent Inability to dilate the cervix Inability to distend the uterus to obtain visualization Poor surgical candidates who may not tolerate fluid overload because of renal disease, or radiofrequency current when a cardiac pacemaker is present The patient desires and expects complete amenorrhea |
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What are some of the distension medias used in hysteroscopy? 2 most common?
(objective) |
Crystalloids & D5 water are most commonly used
others: Hyskon (dextran) Mannitol CO2 gas |
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Complications of distension media and hysteroscopy?
(objective) |
Fluid overload
Electrolyte disturbances Infection Bleeding Asherman’s syndrome Perforation ** |
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Enumerate the laparoscopic options for sterilization
(objective) |
ESSURE: Hysteroscopic sterilization
As effective as post-partum sterilization Can be done in the office Requires 3 months back up contraception FDA requires 3 month post op HSG to confirm tubal blockage |
