gynaecological laparoscopy for general surgeons
TRANSCRIPT
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LAPAROSCOPICGYNAECOLOGICAL SURGERY FOR GENERAL SURGEONS
DR SUNDAR NARAYANAN M.D, DIP.LAP(GERMANY)DIP MIS (FRANCE), DIP ART (ISRAEL)
CONSULTANT: LAPAROSCOPIC SURGERY AND ASSISTED REPRODUCTION
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Laparoscopic gynaecological surgeries for general surgeons
To intervene or not
Mostly innocent May not need any surgical intervention Do operate only if it is a emergency/
potential risk in near future Try to preserve fertility whenever possible
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Laparoscopic gynaecological surgeries for general surgeons
Gynecological laparoscopy Diagnostic
Laparohysteroscopy - Infertility workup, CPP Operative Adnexal surgeries
Tubal& ovarian Uterine surgeries Pelvic side wall surgeries
Endometriosis, pelvic adhesions (PID),malignancy Internal iliac ligation
Pelvic floor defects Sling surgeries, Burch colpo suspension
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Laparoscopic gynaecological surgeries for general surgeons
Ovarian surgeries Oophorectomy
Ovarian malignancies, large benign ovarian tumors or TO abscess
Conservative procedures Ovarian drilling – PCOD Salpingo ovariolysis Ovarian cystectomy Untwisting of adnexa
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Laparoscopic gynaecological surgeries for general surgeons
Twisted ovarian cyst
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Laparoscopic gynaecological surgeries for general surgeons
Dermoid cyst
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Laparoscopic gynaecological surgeries for general surgeons
ENDOMETRIOSIS
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Laparoscopic gynaecological surgeries for general surgeons
Tubal surgeries Salpingectomy
Hydrosalphinx, TO mass, Ruptured ectopic Tubectomy
Family planning Conservative procedures
Neosalpingostamy & Fimbrioplasty Linear salpingostomy –un ruptured ectopic Para ovarian cystectomy Tubal recanilisation
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Laparoscopic gynaecological surgeries for general surgeons
Tubal ectopic pregnancy
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Laparoscopic gynaecological surgeries for general surgeons
Para ovarian cyst
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Laparoscopic gynaecological surgeries for general surgeons
Uterine surgeries Hysterectomy
LAVH TLH LSH Laparoscopic Wertheim's
Conservative surgeries Myomectomy Metroplasty – congenital anomalies Sling surgeries – nulli parous prolapse
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Laparoscopic gynaecological surgeries for general surgeons
myomectomy
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Laparoscopic gynaecological surgeries for general surgeons
Supra cervical hysterectomy
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Laparoscopic gynaecological surgeries for general surgeons
Hysteroscopy Diagnostic hysteroscopy
Infertility , DUB Operative hysteroscopy
Proximal tubal cannulation Septal resection – septate uterus Endometrial polyp removal Submucous myomectomy Adhesiolysis - ashermann’s syndrome Endometrial biopsy – DUB
Misplaced cu ‘T’ or retained fetal bones TCRE
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Laparoscopic gynaecological surgeries for general surgeons
Hysteroscopy
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Laparoscopic gynaecological surgeries for general surgeons
Hysteroscopic myomectomy
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Laparoscopic gynaecological surgeries for general surgeons
CONCLUSION TRY SURGICAL INTERVENTION ONLY
WHEN THERE IS ABSOLUTE EMERGENCY. LOOK FOR POSSIBLE MEDICAL
MANAGEMENT. ALWAYS CONSULT THE WOMEN ABOUT
HER FERTILITY ASPIRATIONS . TAKE DUE CARE TO PRESERVE FERTILY
ESPECIALLY IN YOUNG FEMALES.
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Laparoscopic gynaecological surgeries for general surgeons
Thank you !