Ideal USG in hysteroscopy

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Conference Name: Hysteroscopy Workshop

Venue: Cygnus Orthocare Hospital, New Delhi

Surgeon(s)/Speaker(s): Dr. Kuldeep Singh

Surgical Procedure: Gynecology-Hysteroscopy

Location: Manchanda's Endoscopic Center New Delhi

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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

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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

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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