| New developments in ambulatory hysteroscopic surgery. | |
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MedLine Citation:
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PMID: 16126460 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In the last decade, advancements have been made in hysteroscopic techniques, instrumentation and indications. Vaginoscopic hysteroscopy is performed without medication, cervical dilation and use of vaginal speculum or cervical tenaculum. To prevent complications during uterine access, both misoprostol and laminaria are equally effective for cervical priming. The use of normal saline to distend the uterus prevents hyponatraemia, but hypervolaemia may still be a major problem. Irrigant fluid deficit is best monitored by automated devices. Bipolar electrosurgical systems do not require dispersive return electrodes and do not generate stray currents, thus minimizing the risk of electrical burns. Tissue debulking and extraction are facilitated by vaporizing electrodes or morcellators. Hysteroscopic indications have expanded to include diagnosis and treatment of missed abortion, and cervical and interstitial pregnancies. The most important advancement of hysteroscopy has been proximal tubal access for sterilization. |
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Authors:
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George A Vilos; Basim Abu-Rafea |
Publication Detail:
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Type: Journal Article; Review Date: 2005-08-26 |
Journal Detail:
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Title: Best practice & research. Clinical obstetrics & gynaecology Volume: 19 ISSN: 1521-6934 ISO Abbreviation: Best Pract Res Clin Obstet Gynaecol Publication Date: 2005 Aug |
Date Detail:
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Created Date: 2005-11-28 Completed Date: 2006-06-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101121582 Medline TA: Best Pract Res Clin Obstet Gynaecol Country: England |
Other Details:
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Languages: eng Pagination: 727-42 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, The University of Western Ontario, St Joseph's Health Care, Room L111, 268 Grosvenor Street, London, Ont., Canada N6A 4V2. george.vilos@sjhc.london.on.ca |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Ambulatory Surgical Procedures
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instrumentation,
methods* Catheter Ablation / methods Female Humans Hysteroscopes Hysteroscopy / methods* Sterilization, Tubal / methods Uterine Diseases / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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