Hysteroscopy


Conference Name: SELSICON 2023

Conducted by: SELSI, Galaxy Care Hospital and Symbiosis Medical College, Pune

Surgeon(s)/Speaker(s): Dr. Milind Telang

Surgical Procedure: Gynecology-Hysteroscopy

Location: Symbiosis Medical College, Pune.



Indexsteps

1. Parts painted and draped : * Parts painted and draped

2. Bimanual examination : * Bimanual examination to confirm size and position of uterus

3. Hysteroscope introduced in vagina with continous flow sheath and cervix visualised : * Hysteroscope introduced in vagina with continous flow sheath and cervix visualised

4. The introitus may be closed gently to facilitate distension of vaginal : * The introitus may be closed gently to facilitate distension of vaginal

5. Scope gently introduced in cervical canal and cervical canal negotiated under vision : * Scope gently introduced in cervical canal and cervical canal negotiated under vision

6. The cavity, both tubal ostia visualized and any pathology tackled : * The cavity, both tubal ostia visualized and any pathology tackled



pre_post_measures

1. Preoperative investigations : Complete Blood count with ESR:new:HIV 1 and 2:new:HCV:new:Hbsag:new:Random blood sugar ( Fasting, postprandial if diabetic):new:TSH ( free T4 and TSH if hypo or hyperthyroid):new:Chest X ray ( if >40 years):new:ECHO ( if Indicated):Conscious sedation or general anesthesia or spinal anesthesia:new:Gynecological position

2. Preoperative measures : Patient is catheterized to empty the bladder:new:Attachment of the diathermy plate:new:Securing the patient to the table:new:Padding of the pressure points:new:Dose of prophylactic antibiotic at the time of induction of anaesthesia



Surgical Instruments

1. Harmonic Scalpel

2. Bipolar graspers

3. duckbill graspers

4. Suction irrigation set

5. Clip applicator

6. Hysteroscope

7. Energy source

8. Vessel Sealer

9. Polysorb absorb-able suture

10. Scissors

11. Scissors

12. Resectoscope