Urodynamic Testing

Sep 20, 2016 by in GYNECOLOGY Comments Off on Urodynamic Testing

Indications for urodynamic testing Complicated history Stress incontinence before surgical correction Urge incontinence not responsive to therapy Recurrent urinary loss after previous surgery for stress incontinence Frequency, urgency, and pain…

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Getting Started in Office-Based Gynecologic Procedures: Office Set-up, Procedural Implications and Ensuring Patient Safety

Sep 20, 2016 by in GYNECOLOGY Comments Off on Getting Started in Office-Based Gynecologic Procedures: Office Set-up, Procedural Implications and Ensuring Patient Safety

Fig. 2.1 Example of procedure room set-up for office-based surgery An individual or group of individuals specifically dedicated to office procedures should manage the set-up and maintenance of the room…

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Pre-procedure Patient Evaluation and Management

Sep 20, 2016 by in GYNECOLOGY Comments Off on Pre-procedure Patient Evaluation and Management

Fig. 1.1 Ambulatory surgery visits and discharges of hospital inpatients with procedures: United States, 1996 and 2006 (revised) Fig. 1.2 Rates of ambulatory surgery visits by facility type: United States,…

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Office-Based Global Endometrial Ablation

Sep 20, 2016 by in GYNECOLOGY Comments Off on Office-Based Global Endometrial Ablation

Global ablation device ThermaChoice (n = 137) Her Option (n = 193) HTA (n = 187) NovaSure (n = 175) MEA (n = 215) Protocol differences and exclusion criteria Maximum sound length (cm) 10 10 10.5 10 14 Inclusion of…

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Informed Consent

Sep 20, 2016 by in GYNECOLOGY Comments Off on Informed Consent

Ethical components Medical decision-making capacity Disclosure Understanding Voluntary choice Authorization Medical Decision-Making Capacity Capacity is a threshold criterium for informed consent [1]. The informed consent process cannot take place unless…

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Hysteroscopic Sterilization

Sep 20, 2016 by in GYNECOLOGY Comments Off on Hysteroscopic Sterilization

Fig. 5.1 Distribution of methods of sterilization in the Netherlands in 2010 (By courtesy of Michel Vleugels, MD, PhD, personal communication) Even before the introduction of the hysteroscope in the…

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Robotic Approach to Management of Fibroids

Sep 20, 2016 by in GYNECOLOGY Comments Off on Robotic Approach to Management of Fibroids

Fig. 12.1 A three-arm approach to port placement for improved cosmesis (From Gargiulo 2011) Fig. 12.2 Standard approach to robotic trocar placement. (a) Positioning of trocar sites: (1) 8 mm…

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Imaging Before Endoscopic Surgery

Sep 20, 2016 by in GYNECOLOGY Comments Off on Imaging Before Endoscopic Surgery

TVS Terms and measurements In the sagittal the endometrial thickness is measured “Double endometrial thickness” Intracavitary fluid: the thickness of both single layers are measured and the sum is recorded…

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