PREOPERATIVE
DIAGNOSES:
Postmenopausal
bleeding and endometrial polyp.
POSTOPERATIVE
DIAGNOSES:
Postmenopausal
bleeding and endometrial polyp.
OPERATION:
Dilatation and
curettage, diagnostic hysteroscopy.
ANESTHESIA:
General given by
Jean.
SURGEON:
ASSISTANTS:
None.
ESTIMATED BLOOD
LOSS:
SPECIMENS
REMOVED:
DESCRIPTION OF
PROCEDURE/FINDINGS:
Under satisfactory general anesthesia, the patient was placed in
the dorsal lithotomy position. The
perineum and the vagina were painted with Betadine before applying sterile
drapes. The pelvic examination disclosed
a closed cervix. The uterus was normal
size, anteverted. Adnexa was
negative. A heavy-weighted speculum was
inserted into the vagina followed by the anterior retractor. The anterior lip of the cervix was grasped
with a tenaculum forceps. After
satisfactory dilatation, a rigid hysteroscope was introduced into the
endocervical canal and brought through the endometrium which was described as
being normal and pale without any evidence of polyp or point of bleeding. No friable mass was also noted. The ostium on the left side was identified as
well as the ostium on the right side and appeared to be normal and patent. Upon withdrawing slowly from the uterine
cavity, anterior, posterior and lateral all were identified, they appeared to
be normal. The endocervical canal was
identified as well and (_____) but no evidence of polyps was seen inside. Then the scope was removed. Then the endocervical canal was curetted,
which has been given and scanty amount of tissue was obtained. The endometrial cavity was also curetted and
moderate amount of tissue was obtained.
The procedure was well tolerated, 4 L of fluid was used during the
hysteroscope.
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