Dilation and Curettage D C Surgery PreOp Patient Engagement and Education
Youtu.beJiaqOtVna1g Your doctor has recommended that you undergo a Dilation and Curettage, or D and C. But what does that actually mean The uterus is part of a woman's reproductive system. It's the organ that contains the growing fetus. The cervix forms the neck of the uterus, and the vagina is the canal through which conception and birth take place. The endometrium is a soft lining that protects the fetus during pregnancy. Reasons for having a D and C vary. Most D and C's are performed because the patient has complained of unusually heavy menstrual bleeding.
Other common problems include, uterine infection, bleeding after sexual intercourse, incomplete miscarriage or the presence of polyps small pieces of extra tissue growing on the inside of the uterine wall. Then the surgeon will use a gloved hand to conduct a vaginal examination and will check the size and location of the uterus by pressing on your lower abdomen. A metal or plastic vaginal speculum is used to gently expand the vagina and allow access to the cervix. Once the cervix is visible, a forcep is used to grasp the front lip of the cervix causing.
The uterus to open a little. Using a blunttipped probe, the surgeon carefully measures the length of the uterus and takes a small sample of tissue from the cervical canal. Next, the surgeon will dilate, or open the cervix, using a series of progressively larger metal rods called dilators. When the cervix has expanded sufficiently, the doctor will use a spoonshaped instrument called a curette to gently scrape out the lining of the uterus. In some cases, surge When the entire lining of the uterus has been removed, the instruments are withdrawn.
Myoma Uterine Fibroids What is Myoma, Causes, Symptoms and Treatment for Myoma
A fibroid is a benign tumor that mainly consists have muscular tissue and usually grows inside the uterus. Fibroids are also called myomas. Its size ranges widely, from a small tumor the size of a pea to a large tumor almost the size of the uterus. Myomas are classified into three types, depending on the location where they are found. The intramural myoma, a fibroid that grows in the muscular wall of the uterus. This subserosal myoma, a fibroid located just beneath the outside mucosal covering of the uterus. Here the fibroid projects to the.
Outside and occasionally remains connected with the uterus only through a small stalk. The submucosal myoma, a tumor that grows beneath the surface of the uterus lining. Therefore, this type of fibroids can grow into the uterine cavity. The actual causes have development of a fibroid are still unclear. However, it has been documented that fibroids are associated with high levels of estrogen, the female sex hormone. Fibroids can only developed during reproductive years of women. Following menopause, the production of estrogen decreases which will usually cause fibroids to shrink or disappear.
Myomas are more common in nonpregnant and infertile women. In general, fibroids are asymptomatic or associated with just a few complaints if any complaints. If any complaints occur, then the location, size and type of the fibroid are the major factors. Fibroids can affect nearby structures. They can cause compression of the bladder, which may lead to urinary complaints, or may obstruct the intestine, which may result in constipation. Other complaints can be backaches, abdominal problems, menstrual flow disturbances. Fibroids can impede normal childbirth, which may require caesarean delivery. Fibroids relatively more often lead to miscarriages.
Whenever fibroids cause symptoms, they need to be removed or shrinked. Medications sometimes cause fibroid to shrink by blocking the production and secretion of estrogen. In other cases, surgery may be required to remove the fibroid. The type of surgery depends on the location of the fibroid. Sometimes it's possible to remove the fibroid with the help of the tube entered through the vagina and the procedure is called hysteroscopic myomectomy. In other cases, surgery through the abdominal wall may be necessary. In the case of a large fibroid, hysterectomy may be the only solution.
New Minimally Invasive Options for Gynecologic Surgery at North Shore Medical Center NSMC
This is the biggest change I've seen in my practice in 20 years its what I am most excited about since I've come out of residency a patient may come and see me because she's got heavy bleeding and she was found to have a fibroid uterus as it turns out she's been dealing with this for about three years because her mother had the same thing and she had surgery using a traditional laparotomy big incision she's in the hospital for a week and didn't feel well again for eight weeks what I can now tell this patient is.
Let me bring you to the hospital I can use small incisions you can go home the same day i'll have you driving in three days and you can be back to work in two weeks you know we've been doing this for three years and we still say it's a a great operations really sweet operation because it really allows the patient a comfort level that they wouldn't have otherwise if they had to have a major operation or major incision the procedures would be as follows office tubal sterilization.
Office endometrial ablations for heavy bleeding then transitioning to the hospital we do laproscopic supracervical hysterectomies total laparoscopic hysterectomies we can combine those procedures with removal of the tubes and ovaries as well we can do laparoscopy for pelvic pain and endometriosis laparoscopy for removal the ovaries and tubes if we need to for history of breast cancer or for history of ovarian cycsts an example the recent patient is a patient of mine who had a fibroid uterus and the fibroid itself was the size of a grapefruit 10 centimeters.
She had not only heavy bleeding from this but pelvic pain and we were able to see her get her in to the hospital did a hysterectomy the specimen itself weighed 1.5 pounds she was able to go home the following day and she's back at work as we speak which is two and a half weeks after the procedure this is someone who's been living with pain for three to four years shoot me in the eye and say this is so easy how could I possibly have waited for so long.
What are Fibroids Causes, symptoms and treatment of fibroids
Welcome back lovely ladies today we are going to figure out fibroids. figure out fibroids figure out fibroids It's like a tongue twister! say that three times fast. anyway, fibroids are something that you may never have to face because it generally tends to affect women age 30 or more however it is interesting to note that 25 percent women will probably suffer from fibroids at one point in their life but I'll never have symptoms and they'll never need treatment so what the heck are fibroids Fibroids are noncancerous growths.
In the muscle walls in your uterus. Studies show that that being overweight or having high blood pressure are major risk factors. Fibroids tend to shrink when your body goes through menopause. So, what causes fibroids unknown. I know, sorry to disappoint you. the thing is is that the growth depends on the estrogen levels in the body and as the woman continues to menstruate and the sizes can vary they can be so small that you need a microscope to look at them or they can be really big as big as the uterus. now if you do have symptoms,.
Some of them may include pelvic cramping when you're not on your period, lower abdomen pain, lower back pain, painful sex, and increased urine frequency. the doctor will do an ultrasound to check for all of this. Now some treatment options generally include getting on birth control pills or an IUD Intrauterine Device to help regulate the estrogen, and if it really really really comes down to it surgery is also an option. Again, all this varies on your diagnosis and the severity of your problems. Always remember to go to a doctor to get.
General Biopsy Surgery PreOp Patient Engagement and Education
Your doctor has recommended that you undergo a biopsy procedure or lumpectomy. But what does that actually mean Biopsy is a general term which simply means the removal of tissue for microscopic examination. Your doctor intends to remove tissue from your body, not because you're necessarily ill, but because biopsy is a very accurate method for analyzing unusual growths or other suspicious tissue. Because it provides such accurate diagnostic information, biopsy is an important diagnostic tool in the fight against cancer. In your case, you have a suspicious lump or other tissue which needs to be examined. It.
May have been felt by you or your doctor.. or spotted using other diagnostic tools such as xray. Let's take a moment to look at the reasons why lumps or growths form. The body is made of many different kinds of tissues and those tissues are all subject to change during the course of a normal lifetime. Usually, a thickening or lump turns out to be benign, or harmless, and often requires no treatment. In some cases, lumps are malignant tumors, caused by the growth of cancerous cells. These growths need to be treated as rapidly as possible.
In order to learn more about the nature of the suspicious tissue, your doctor would like to surgically remove it. Most likely, you're feeling some anxiety about this procedure, which is perfectly understandable. You should realize that it's natural to feel apprehensive about any kind of biopsy. But ignoring a suspicious growth won't make it go away. If you're feeling anxious, try to remember that the purpose of a biopsy is simply to find out what is going on in your body so that if you do have a problem, it can be diagnosed.
And treated as quickly as possible. If you should decide not to allow your doctor to perform the biopsy, you'll be leaving yourself at risk for medical problems. If the suspicious tissue in your breast is benign, most likely you'll suffer few if any complications. However, if it is cancerous, and it is allowed to grow unchecked you might be putting your own life at risk. The bottom line trust that your doctor is recommending this procedure for your benefit and above all don't be afraid to ask questions raised by this tutorial and to talk openly about.
Your concerns. After allowing a few minutes for the anesthetic to take effect, the surgeon will make a small incision. Once the incision has been made, your doctor will begin looking for the lump. You will feel some pressure or even slight tugging or pulling but you should not feel any sharp pain. Once the lump is removed, the doctor will close the skin over the incision as neatly and as cosmetically as they are able. Finally, a sterile dressing is applied. Your tissue specimen will be sent immediately to a lab for microscopic analysis. Your doctor.
Hysterectomy Removal of Uterus, Ovaries and Fallopian Tubes Surgery
Your doctor has recommended that you have a hysterectomy with the removal of the ovaries and fallopian tubes. But what does that actually mean Hysterectomy is the removal of the uterus the organ that holds and protects the fetus during pregnancy. Hysterectomy often also involves the removal of other parts of the reproductive system, including the ovaries where eggs are produced the fallopian tubes which carry the eggs to the uterus and the cervix or neck of the uterus. There are many different reasons why a doctor may recommend this kind of surgery.
Patient Education In many cases, disease or the growth of abnormal tissue will lead a doctor to recommend the removal of the uterus, the ovaries and fallopian tubes. In some cases, unusually heavy menstrual flow and the accompanying discomfort may make hysterectomy an important treatment option for patient and physician to consider. But no matter what the reason behind it, you should be aware that the removal of the uterus and other reproductive organs is a serious step and it can mean significant changes in your life. Patient Education After having a hysterectomy, you will not be able to have children and if because your.
Ovaries are removed as part of the procedure, you may even need to take medication to replace hormones that your body once produced on its own. So make sure that you ask your doctor to carefully explain the reasons behind this recommendation. After allowing a few minutes for the anesthetic to take affect your doctor will decide whether to make a vertical or horizontal incision. An incision is made cutting through the skin and muscle of the abdomen. Next, the surgeon will inspect the general condition of the abdominal organs. Once the ovaries are exposed the uterus can then be separated from the bladder.
All arteries, veins and ligaments connected to the uterus, ovaries and fallopian tubes are tied off and cut. Now the uterus can be pulled upward. This stretches the vagina allowing the surgeon to cut the uterus free at the cervix. The surgeon closes the top of the vagina with stitches, and provides added support by attaching the ligaments that once held the uterus, ovaries and fallopian tubes in place. The incision is then closed and a drainage tube may be left inserted at the site. Finally, a sterile bandage is applied.
Rotator Cuff Repair Open PreOp Patient Education Surgery HD
Your doctor has recommended that you have surgery to repair a torn rotator cuff. But what does that actually mean Rotator cuff is the term given to describe a group of four tendons that work together to support and stabilize the shoulder joint. Each tendon connects muscle to bone. When a shoulder muscles contracts, it pulls on a tendon which in turn pulls on the upper arm bone and causes it to move. When one or more of these tendons become damaged, the arm loses strength and mobility. Your Procedure On the day of your operation, you will be asked to put on a surgical gown.
You may receive a sedative by mouth and an intravenous line may be put in. You will then be transferred to the operating table. If you are receiving general anesthesia, the anesthesiologist will administer it by injection and using an inhalation mask. The surgeon will then apply an antiseptic solution to the skin and place a sterile drape around the operative site. After you are unconscious, your doctor will make a vertical incision on your shoulder. Skin and other tissue will be pulled back in order to expose the shoulder's muscles.
These will also be pulled aside to expose the shoulder joint and tendons. Under the deltoid muscle lies the bursa, a protective sac that prevents the rotator cuff tendons and the shoulder muscles from rubbing against each other. Your doctor will remove the bursa to gain access to the damaged tendons. Next, the surgeon will cut away any scar tissue or unhealthy tissue around the torn area. Using sutures, the tear can now be repaired. Before closing, the deltoid muscle is returned to its proper position and the skin is rejoined and sutured.
Breast Biopsy Incisional Surgery PreOp Patient Education Medical HD
Your doctor has recommended that you undergo a breast biopsy procedure or lumpectomy. In your case, you have lump or thickening in your breast. It was felt by you or your doctor during a routine breast exam or discovered following a mammogram. Let's take a moment to look at the reasons why lumps form in breast tissue. The breast is made of layers of skin, fat and breast tissue all of which overlay the pectoralis muscle. Breast tissue itself is made up of a network of tinymilk carrying ducts and there are three ways in which a lump can form among them.
Most women experience periodic changes to their breasts. Cysts are some of the most common kinds of tissues that can grow large enough to be felt and to cause tenderness. Cysts often grow and then shrink without any medical intervention. A second kind of lump is caused by changes in breast tissue triggered by the growth of a cyst. Even after the cyst itself has gone away, it can leave fibrous tissue behind. This scar tissue can often be large enough to be felt. The third kind of growth is a tumor. Tumors can be either benign or cancerous and it is.
Concern about this type of growth that has lead your doctor to recommend breast biopsy. Sometimes you will have breast changes that can not be felt by physical examination alone but may be seen on a mammogram. On the day of your operation, you will be asked to put on a surgical gown. You may receive a sedative by mouth and an intravenous line may be put in. You will then be transferred to an operating table. Your doctor will scrub thoroughly and will apply an antiseptic solution to the skin around the area where the incision will be made.
Then, the doctor will place a sterile drape or towels around the operative site and will inject a local anesthetic. This will sting a bit, but your breast will quickly begin to feel numb. Usually, the surgeon will inject more than one spot in order to make sure that the entire area is thoroughly numb. After allowing a few minutes for the anesthetic to take effect, the surgeon will make a small incision. Once the incision has been made, your doctor will begin looking for the lump that is to be removed. You will feel some pressure or.
Removal Of Fibroid From Breast Complete Surgical Procedure
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