Surgical explains Flashcards
colposcopy
what is it?
when is it done?
to take a look at your cervix - cervical cancer
your cervix is the opening of your womb from your vagina
if cervical cancer screening finds changes to your cells
smooth tube shaped tool - speculum is gently placed into your vagina to open it
a microscope is then used to look into your vagina to open is
microscope stays outside your body
small sample of cell may be taken from your cervix for testing
what HPV causes cervical cancer?
16 and 18
what hpv causes vaginal cancer
HPV types 6 and 11
charity if worried about cervical cancer?
Eve appeal
macmillan cancer support
how long after? colposcopy
15-20 mins
large loop excision of the transformation zone
LLETZ
often done at same time as your colposcopy
in jection of LA
to numb cervix - so you dont feel any pain
heated loop of wire is then used to remove the tissue
you may need to avoid sex for 4 weeks
when to contact gp or 111?
after a colposcopy?
heavy bleeding from vagina
unpleasant smelly discharge from vagina
stomach pain that won’t get better or keeps coming back
speculum exam
cusco vaginal speculum - metal one
sims vaginal speculum
what is a speculum?
“I will be passing a speculum, which is a plastic/metal instrument, through the vagina to visualise the neck of the womb.”
how to position for speculum?
laid on back
legs bent at the hip with feet towards your buttock
flop knees apart
when is a sims speculum used?
in assessing prolapse
Ask the woman to cough whilst looking for uterine descent and cystocoele
Repeat whilst holding back the anterior wall, looking for rectocoele/enterocoele
contraceptive implant
small flexible tube that is inserted into upper arm
releases progesterone in systemic cicruclation
nexplanon
what is a hysterectomy?
removal of the uterus
total - removes uterus and cervix
sub total - removes body of uterus leaving cervix behind
total and bilateral salpingo oophorectomy
uterus, cervix, fallopian tubes and ovaries
what is a radical hysterectomy?
removes uterus and cervix
vaginal cuff
parametrium
procedure of hysterectomy?
abdominal - incision in abdomen
vaginal- superior part of vagina is the insiciosn site
laproscopic - small incisions in abdomen using laproscopes
