Gyn Procedures Flashcards
1
Q
Interval Female Sterilization
A
- Laparoscopic(electrocautery, Falope Ring, Hulka Ring, Tubal ligation Clips)
- Hysteroscopy
2
Q
Post Partum Sterilization
A
- Pomeroy
- Parkland
- Irving
- Uchida
- Filshie Tubal ligation clips
3
Q
Most common method laparoscopic Sterilization
A
Bipolar Coagulation
4
Q
Falope Ring/Yoon Band
A
- Mechanical Occlusion
- Silicone band placed around tube
5
Q
Hulka Clip
A
- Plastic and Gold Clip across fallopian tube -> Tubal occlusion
- Smaller tubal capacity
6
Q
Filshie Tubal Ligation System
A
- Titanium hinge lcip lned w/ silicone rubber across fallopian tube
- Large Tugbal capacity
7
Q
Hysteroscopic Sterilization (Essure)
A
- Micro-insert spaced in each tube w/ PET fibers which stimulate ingrowth
- **Irreversible
8
Q
Pomeroy
A
- EAsy/highly effective/inexpensive
- isthmus looped. tied, + cut
9
Q
Parkland
A
- Isthmus ligated + sectioned at 2 locations and excised
- Reduce natural tube re-attachment
10
Q
Irving
A
- Difficult to perform
- End of tube cute and distal end buried in broad ligament; Proximal end buried in myometrium
11
Q
Uchida Technique
A
- Most complex
- Inject saline into subserosa 2 cm distal to cornua
- inscise seroda to free segment
- ligate proximal + distal to freed tube
- proximal tube “dunked”, distal is “exteriorized,” and serosa is closed
12
Q
Indications for Hysteroscopy
A
- Abnormal bleeding
- Intracavity Uterine Abnormalities/septum
- Infertility evaluation
- Submucosal fibroid removal
- endometrial ablation
13
Q
Hysterectomy Indications
A
- Sarcoma
- Endometrial/Ovarian Hyperplasia/malignancy
- Chronic Pelvic Pain
- Adenomyosis
- Endometriosis
- Uterine Fibroids
