UID:
almahu_9949984098902882
Umfang:
1 online resource (360 pages)
Ausgabe:
First edition.
ISBN:
0-443-21617-7
,
9780443216169
Anmerkung:
Front Cover -- Complications of Hysteroscopy -- Complications of Hysteroscopy: DIAGNOSIS AND MANAGEMENT -- Copyright -- Contents -- List of contributors -- Foreword by Ricardo Bassil Lasmar -- Foreword by Linda D. Bradley -- Preface -- Acknowledgments -- 1 - Anesthesia and patient position -- Introduction -- Conclusion -- References -- 2 - Hysteroscopic anatomy-applied to avoid mishaps -- Why is it important to have anatomical landmarks? -- Anatomical landmarks in hysterosocpy -- External genitalia -- Vagina -- Cervix -- Uterine isthmus -- Uterine corpus and fundus -- Practical implications: avoiding mishaps -- Conclusion -- References -- 3 - Get a clear view before starting: Endometrial preparation with hormones -- Introduction -- Endometrial preparation with hormones: which molecules are currently available? -- Hormonal endometrial preparation in the hysteroscopic management of the main intrauterine pathologies -- Conclusions -- References -- 4 - Role of imaging in preventing and managing hysteroscopic complications -- Introduction -- Imaging in preoperative patient evaluation -- Intraoperative ultrasound -- Imaging in the diagnosis and management of hysteroscopic complications -- Conclusion -- References -- 5 - Bleeding/hemorrhage -- Introduction -- Bleeding -- Uterine vascularization -- Management -- Prevention -- Specific situations -- Synechiolysis -- Myomectomy -- Polypectomy -- Metroplasty -- Endometrial ablation -- Removal of RPOC -- Conclusion -- References -- 6 - Uterine perforation: Prevention, identification, and management -- Introduction -- Incidence -- Risk factors -- Prevention of uterine perforation during hysteroscopic surgery -- Identification and management of uterine perforation -- Learning points -- References -- 7 - Isthmocele perforation during management -- Introduction -- Management -- Hysteroscopic repair.
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The risk of uterine perforation during hysteroscopic isthmoplasty -- First consideration -- Second consideration -- Third consideration -- Conclusion -- References -- 8 - Fluid overload and intravascular absorption syndrome -- Introduction -- Methods -- Results -- Use of gas as distending medium -- Use of fluid as distending medium -- Electrolytic fluids -- Nonelectrolyte fluids -- Preoperative measures -- Pretreatment of the cervix to prevent laceration and opening vessels -- Misoprostol -- Operative phase -- Postoperative phase -- Conclusions -- References -- 9 - Cervical laceration and false passage -- Introduction -- Cervical laceration -- Risk factors -- Prevention -- Treatment -- False passage -- Incidence -- Risk factors -- Diagnosis -- Management of false passage -- Prevention -- Conclusion -- References -- 10 - Electrosurgical complications: Unipolar and bipolar energies -- Basic principles of electrosurgery -- The electrical energy used in hysteroscopy may have different frequencies and powers -- Basic principles of the application of electricity in surgery -- Electrical waveforms -- Current types -- Result of the application of electric current on the tissues -- Monopolar and bipolar energies -- Types of electrical circuit in electrosurgery -- Safety and risks -- Complications in electrosurgery -- Thermal burns -- Avoiding electrosurgical complication in hysteroscopy -- Checklist for safety -- Formal informed consent -- Asepsis and antisepsis of the patient -- Correct adherence of dispersion electrode (if monopolar energy is used) -- Verify the type of distension media that will be used before activating energy -- Verify that the energy is properly dispersed by the electrode to the electrosurgical unit before applying it to the patient -- Ergonomy of the surgeon -- Equipment maintenance -- References -- 11 - Air embolism -- Introduction.
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Review of literature -- Pathophysiology of air embolism -- Clinical presentation and diagnosis -- Prevention -- Management -- Conclusion -- Main points -- References -- 12 - Complications caused by incorrect use of hysteroscopic tissue removal system -- Introduction -- References -- 13 - The other victims -- Case: A surgeon's recount of a patient's loss -- Introduction -- Medical error -- Risk factors -- Personal resilience and emotional response -- Stages of healing -- Stage 1: Chaos and accident response -- Stage 2: Intrusive reflection -- Stage 3: Restoring personal integrity -- Stage 4: Enduring the inquisition -- Stage 5: Obtaining emotional first aid -- Stage 6: Moving on -- Organizational and peer support programs -- Examples of organizational support for the second victim -- Peer support programs -- Counseling services -- Debriefing sessions -- Education and training -- Open communication and reporting systems -- Conclusion -- References -- 14 - Problems related to Essure devices -- Introduction -- Essure -- History -- Technique of removal -- Conclusions -- References -- 15 - Delayed complications of hysteroscopies -- Introduction -- Uterine perforation -- False passage or via falsa -- Bleeding -- Tardive hematometra -- Fluid overload-OHIA syndrome -- Asherman's syndrome -- Uterine rupture after operative hysteroscopy -- Infections -- Endometrium carcinoma despite endometrial ablation -- Postablation tubal sterilization syndrome -- Air embolism -- Acknowledgment -- References -- 16 - When hysteroscopy resolves the complications -- Intrauterine foreign bodies -- IUD -- Mesh erosion -- Pessary ring -- Essure -- Intrauterine adhesions. Asherman's syndrome -- Definition -- History -- Incidence and prevalence -- Etiopathogenesis -- Classification -- Clinical presentation -- Diagnosis -- Treatment -- Prevention of recurrences.
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Retained products of conception -- Isthmocele -- Introduction -- Incidence -- Risk factors -- Symptoms -- Diagnosis -- Transvaginal ultrasound -- Sonohysterography -- Hysterosalpingography -- Magnetic resonance imaging -- Hysteroscopy -- Treatment -- Hysteroscopy repair -- Conclusion -- Cervical stenosis -- References -- 17 - Tips and tricks for avoiding complications during diagnostic and/or surgical hysteroscopy -- Patient selection and preparation -- Proper patient selection -- Indications for hysteroscopy (Salazar et al., 2018 -- Munro and Christianson, 2015) -- Contraindications -- Equipment and instrumentation -- Presurgical -- References -- 18 - Infective complications: Risk, diagnosis, and treatment -- Introduction -- Etiological mechanisms for infectious complication at hysteroscopy -- Risk of infectious complications at hysteroscopy -- Antibiotic prophylaxis -- Diagnosis -- Treatment -- References -- 19 - Medicolegal aspects -- Introduction -- History and evolution of medical law -- Fresh legal approaches indicating a shift away from the Bolam principle -- Emergence of consumer protection rights -- Negligence as a crime -- Concept of compensation vis-a-vis medical negligence -- Vicarious liability -- Avoiding legal pitfalls -- Communicating clearly and effectively -- Informed consent -- Exception to the rule -- Current practices, infrastructure, paramedical and other staff, hygiene and sterility should be observed strictly (Martin F ... -- Prescription only upon actual examination -- Making own analysis -- Follow clinical guidelines -- An expert should be consulted in case of any doubt -- Full record of the diagnosis, treatment, etc., should be maintained (Martin F. D'Souza v. Mohd. Ishfaq, 2009) -- No tampering with patient's chart -- Not avoiding the patients even on the face of an unsuccessful surgery or a bad outcome.
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Medical liability insurance asset protection and indemnity -- Hysteroscopy and the possible legal complications -- Liability in litigation -- References -- 20 - Interesting cases registry -- Introduction -- Case 1. Uterine perforation by Hegar -- Case 2. False passage in the uterine cervix with hysteroscope -- Case 3. False passage and uterine perforation with 5 Fr grasper -- Case 4. False passage with uterine perforation with the tip of hysteroscope during Asherman syndrome adhesiolysis -- Case 5. Cold loop broken during myomectomy -- Case 6. Uterine perforation after hysteroscopic attempt of IUD removal -- Case 7. Fallopian tube incarcerated after "blind" IUD removal -- Case 8. Operative hysteroscopy intravascular absorption syndrome during bipolar myomectomy -- Case 9. Uterine and rectum perforation with 5 Fr scissors -- Case 10. Air embolism during operative hysteroscopy for Asherman's syndrome -- Acknowledgments -- References -- Index -- Back Cover.
Weitere Ausg.:
Print version: Manchanda, Rahul Complications of Hysteroscopy San Diego : Elsevier,c2023
Sprache:
Englisch
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