By Resad P. Pasic, Ronald Leon Levine
Maintaining with the speedy progress during this box, a realistic handbook of Hysteroscopy and Endometrial Ablation: A scientific Cookbook covers present and rising endometrial ablation systems. It presents sensible, step by step illustrated descriptions of easy and complex suggestions and new tools. The editors, Resad Pasic and Ronald L. Levine, have introduced jointly a gaggle of specialists well known not just for his or her wisdom but in addition their skill to educate. The subtitle, A scientific Cookbook, used to be purposely selected to stress so you might actually keep on with the person "recipes" of techniques to guarantee their secure and powerful use.
Containing the main updated and thorough fabric to be had, the booklet addresses the current hysteroscopic treatments and gives intensive dialogue of the present wisdom of hysteroscopy and ablation thoughts. each one bankruptcy has the details highlighted in bins separated from the textual content for simple overview. The electronic drawings have been made by means of use of special effects via an excellent picture clothier, Branko Modrakovic. The illustrations, even if line drawings or genuine colour pictures, essentially convey the message. you could fast seize what to do, and simply as importantly, what to not do.
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Extra resources for A Practical Manual of Hysteroscopy and Endometrial Ablation Techniques: A Clinical Cookbook
The fluid bag should be positioned about 100 cm above the patient’s uterus in order to provide adequate distention pressure. If the gravity is not good enough to provide adequate visualization of the uterine cavity, as in cases when operative procedures are performed, hysteroscopy pumps are utilized. The pump delivers constant chosen pressure for adequate distention of the uterine cavity (Figures 8). The pumps are accompanied with specialized tubing that connects to the inflow and outflow valves on the hysteroscope sheath.
Sources of error when tracking irrigation fluids during hysteroscopic procedures. J Am Assoc Gynecol Laparosc 2000; 7(4):472–6 Cicinelli E, Didonna T, Fiore G, Parisi C, Matteo MG, Castrovilli G. Topical anesthesia for hysteroscopy in postmenopausal women. J Am Assoc Gynecol Laparosc 1996; 4(1):9–12 Cicinelli E, Dodonna T, Schonauer LM, Stragapede S, Falco N, Pansini N. Paracervical anesthesia for hysteroscopy and endometrial biopsy in postmenopausal women. A randomized, double-blind, placebo-controlled study.
Administer Lasix after a 1000cc deficit. Terminate the procedure if serum sodium is significantly lowered or the deficit reaches 2000cc. The anesthesiologist’s index of suspicion must be high and diagnostic skills keen. A diligent record of the fluid balance must be recorded. This responsibility is a cooperative effort of the entire surgical team and not only the anesthesiologist. Fluid estimates are prone to human error and for this reason automated systems have been developed (See Chapter 2 on Instruments).
A Practical Manual of Hysteroscopy and Endometrial Ablation Techniques: A Clinical Cookbook by Resad P. Pasic, Ronald Leon Levine