women's health and diagnostic disorders - common surgical procedures

name the procedure: dilate cervix and scare/suction of endometrial tissue

dilation and curettage

• heavy uterine bleeding (postmenopausal or from menses)

• miscarriage management

• elective abortion

• retained products of conception

• endometrial sampling/bx

• molar pregnancy

• infection related situatiion (septic miscarriage)

These are all indications for what kind of surgical procedure

dilation and curettage

what is the difference between a D&C and endometrial ablation

D&C > bx/short term vs ablation > for long term problems

D&C can be used to evaluate uterine lining abnormalities that may relate to what three things

CA, AUB, infertility issues with endometrium

name the procedure: removal of surface endometrial tissue using heat, laser, or cryotherapy

endometrial ablation

what are two indications for an endometrial ablation

AUB, painful periods

what is important to ensure the patient understands before they have an endometrial ablation

it can affect fertility

if someone is getting an endometrial ablation it important to rule out that they don’t have what dx

CA

what is an alternative for a hysterectomy if the bleeding is mild and CA has been ruled out

endometrial ablation

name the procedure: laparoscope inserted into the visualization and surgery

laparoscopy

• tubal ligation

• IUD issues

• adhesion removal

• egg retreival (IVF)

are all procedures where what might be utilized

laparoscopy

• infertility

• ectopic pregnancy

• adhesions/cysts

• endometriosis

• PID

• hysterectomy

These are all things that can be dx with the help of what procedure

laparoscopy

what are the top three indications of a hysterectomy

CA, fibroids/endometriosis, genital prolapse/PID

name the type of hysterectomy: removes the uterus and the cervix

total hysterectomy

name the type of hysterectomy: uterus removed, cervix left in place

subtotal hysterectomy

name the type of hysterectomy: uterus, cervix, fallopian tubes, and ovaries are removed

hysterectomy with salpingo-oophorectomy

if ovaries are removed before menopause the patient will require what supplements

hormones

name the type of hysterectomy: uterus, cervix, fallopian tubes, ovaries, vagina, lymph nodes

radical hysterectomy

what is the most common indication for a radical hysterectomy

CA

what is a less common indication for a hysterectomy

AUB

what is the most common surgical technique for a hysterectomy

abdominal transverse

• anesthesia complications

• uterine, bladder, bowel injuries

• hemorrhage

• infection

• DVT

these are all risks related to what procedure

hysterectomy

why are DVTs at increased risk post op from a hysterectomy

decreased movement and increased clotting factor-

what is an important thing to look at lab wise prior to a hysterectomy

H&H levels

what is the highest priority post op from a hysterectomy

ABCs