endoscopy in gynaecology
TRANSCRIPT
ENDOSCOPY IN GYNAECOLOGY
Objectives
At the end of this session you should be able to ….
1. Enumerate the advantages of laparascopy over laparatomy
2. List indications and complications of laparascopy and hysteroscopy.
Advantages of laparascopy
Indications of laparascopy
Diagnostic:
•Infertility•Endometriosis•Acute/chronic pelvic pain•Evalaution of adnexal mass
Operative :
•Sterilisation•Ectopic •Ovaraian cysts•Tubal recanalisation•Myomectomy•Hysterectomy
Complications :
Subcutaneous emphysema Injury to vessels like aorta, vena
cava,inferior epigastric artery, common iliac artery.
Injury to bowel and bladder, ureter. Anesthesia complications.
Basic equipments
VERESS NEEDLE
Trocar
laparascope
Camera
Instruments
Entry points
Trocar placement
Indications of hysteroscopyDiagnostic
•Intrauterine lesions like
polyp, submucous myoma
•Missing IUCD
•Intrauterine adhesions for
secondary amenorrhoea
• Uterine anomalies
• Postmenopausal bleeding
Operative
• Tubal cannulation
•Septal resection
• Myomectomy
• Sterilisation
•Removal of IUCD
•Polypectomy
•Adhesiolysis
Complications of hysteroscopy
Hemorrhage Uterine perforation Electrolyte disturbances Infection