Gynecology Series

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Education event Sponsored by: Medtronic

Conference Name: Medtronic eCMEs- Q2- 2021

Conducted by: Dr. Gnana Sanker Natesan, Dr. Divyesh Shukla

Surgeon(s)/Speaker(s): Dr. Gnana Sanker Natesan

Surgical Procedure: Gynecology-Hysteroscopy

Location: SKS Hospital & PG Medical Institute, Salem

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Indexsteps

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

2. Q and A :

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

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

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

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

7. 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. TruClear™ Hysteroscopic Tissue Removal System

2. ValleyLab FT10 Energy Platform

3. Ligasure 10 Vessel Sealing

4. Ligasure Maryland jaw

5. Sonicision Dissection device

6. FORCE FX™ ELECTROSURGICAL GENERATOR

7. V-loc Wound closure

8. VersaOne Bladeless 12mm trocar

9. Harmonic Scalpel

10. Bipolar graspers

11. duckbill graspers

12. Suction irrigation set

13. Clip applicator

14. Hysteroscope

15. Energy source

16. Vessel Sealer

17. Polysorb absorb-able suture

18. Scissors

19. Scissors

20. Resectoscope