Phase 1 Flashcards
What position is the TrueClear procedure performed in?
Dorsal lithotomy
Patulous
Cervix spread widely apart
Nulliparous
Never delivered vaginally
Gravida
of pregnancies
Para
Number of deliveries > 20 weeks
Paracervical blovk
Uses 5/8” needle and inject just the tip of cervix
Intracervical block
Uses 1-1 1/2” needle and inject into the strong (neck of cervix) at 4 and 8 o’clock
False passage
During dilation of cervix, an instrument may be pushed through a section of the cervix rather than the canal
Preforation
An instrument is pushed through the find us into the peritoneal cavity
A round dilator od 27Fr has an external diameter of how many mm
Resectoscope
A special type of hysteroscope w a built in wire loop that uses high frequency electrical energy to cut or coagulate tissue
Devices that use mechanical energy to respect intrauterine pathology
True clear
Direct visualization of uterus and its contents
Hysteroscopy
Indications for use
Submucous myomas
Endometrial polyps
Retained products of conception
Contraindications
Pregnant patients or patients exhibiting pelvic infection
Cervical malignancy
Previously diagnosed endometrial cancer
TrueClear procedures
Polypectomies Myomectomies Retained products of conception evaluation Visual D&C Hysteroscopic adhesiolysis Endometrial biopsy
Rpoc
Retained products of conception
Competition
Resectoscope Stryker Wolf Olympus Hologic Myosire Hysterectomy, D&C, scissor /grasper, ablation
What best describes the TrueClear Soft Tissue shaver PLUS (STSP)
Oscillating device, optimized for soft polyp tissue as well as small fibroids. Compatible with the 8.0 scope and elite plus hysteroscope
Describe TrueClear Dense Tissue Shaver Plus (DTSP)
Reciprocating device, optimized for dense or fibroid tissue. Compatible with the 8.0 hysteroscope
Describe the TrueClear Soft Tissue shaver mini (stsm)
Oscillating device, optimized for soft or polyp tissue as well as small fibroids. Compatible with the 5.0, 5c scope and elite mini hysteroscope
What are the diameters in mm for the two legacy hysteroscope?
5.0 and 8.0
What is the AAGL maximum fluid loss guideline for normal saline in a healthy patient?
2500cc
The purpose of utilizing a fluid management system during hysteroscopy is prevention and early recognition of excess absorption
True