By Paul D Blumenthal MD MPH, Jonathan S. Berek MD MMS
Office established methods in surgical fields are swiftly becoming bearing in mind swifter prognosis and therapy. This new book, A functional consultant to workplace Gynecologic Procedures provides the step by step advisor to office-based strategies physicians have to deal with girls within the ambulatory setting.
Covering the main standard place of work gynecologic methods, this new ebook covers symptoms, right positioning, anesthesia and kit wanted for over 35 office-based approaches. Chapters additionally current cautious information on powerful sufferer management.
Perform gynecologic approaches in an economical ambulatory surroundings, whereas bettering the end result on your sufferers with this easy-to-use medical reference.
• Written via the college, fellows, and citizens of the Stanford division of Obstetrics and Gynecology
• comprises foreword through prestigious Editor, Dr. Jonathan Berek
• functional, illustrated advisor offers the “need-to-know” details on appearing universal workplace techniques
• CPT codes are indexed to avoid wasting you time
• Over 250 complete color-figures (illustrations, pictures) support determine and reveal the way to practice techniques
• handy spouse web site comprises absolutely searchable textual content and pictures supplying you entry to the content material anytime
Read Online or Download A Practical Guide to Office Gynecologic Procedures PDF
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Extra resources for A Practical Guide to Office Gynecologic Procedures
Introduce the endocervical curette up to the internal os and rotate to scrape all four quadrants (Fig. 4). b. Use an endocervical cytobrush to remove any exfoliated tissue. II. Vaginal Colposcopy 1. Apply 3% acetic acid solution liberally to the vagina. 2. Examine the vagina systematically and straighten out any folds and rugae by opening the speculum, rotate the speculum to examine anterior and posterior vagina. 3. Biopsy any suspicious vaginal lesions. 3 ● Performing a cervical biopsy. A: Orientation of biopsy forceps on exocervix.
Biopsy any areas of well-demarcated, dense acetowhite lesions with or without punctuation. 7. Monsel’s solution or silver nitrate can be used for hemostasis. Sutures (000 gut on a small cutting needle) are rarely needed. CPT Codes 56820. Colposcopy of the vulva; 56821. Colposcopy of the vulva; with biopsy(s) Pearls • Application of vinegar, chlorhexidine, or alcohol solutions can cause a local burning sensation and patient should be informed about this. • A dilute epinephrine solution (1:100,000) added to the local anesthetic can reduce bleeding and reduce the amount of local necessary to get adequate anesthesia.
1) • Transformation zone • Squamocolumnar junction • Endocervix • Ectocervix Anesthesia • Typically none; may offer paracervical block if extensive biopsies are taken. • Lidocaine gel or similar may also be applied to cervix in advance of biopsy. 1 ● Colposcopic landmarks. Equipment • Colposcope or other digital or video imaging device • Speculum • Endocervical speculum for visualization into the canal • 3% acetic acid solution • Cotton-tip applicator/Q tips • Lugol’s iodine solution • Biopsy forceps • Tischler or Kevorkian are most common types • Stiff brush (Spirabrush is a recent innovation) • Cytobrush • Endocervical curette • Kevorkian with open or grated basket • Silver nitrite • Monsel’s solution • Dedicated form for documenting and mapping colposcopic results Technique I.