Hellow guys, Welcome to my website, and you are watching TRANS VAGINAL MANGMENT OF CAESEREAN SCAR PREGNENCY. and this vIdeo is uploaded by Dr Some Gowda, MD, Obstetrics and Gynecology at 2024-10-30T06:22:52-07:00. We are pramote this video only for entertainment and educational perpose only. So, I hop you like our website.
| Name | TRANS VAGINAL MANGMENT OF CAESEREAN SCAR PREGNENCY |
| Video Uploader | Video From Dr Some Gowda, MD, Obstetrics and Gynecology |
| Upload Date | This Video Uploaded At 30-10-2024 13:22:52 |
| Video Discription | Previous two LSCS presented with two months amenorrhea with missed abortion 8wks and scar ectopic USG report. Now a days global increase of the incidence of Caeserean increases incidence of scar ectopic pregnancy,majority of the people believe only laparoscopic, Hysteroscopic or Laparotomy is the ideal . Scopy procedure were costly may be incomplete in the hands of the inexperienced consultants and hardly get the services of experienced professionals and expensive, hardly common people can offer. I think vaginal approach may be the best and vast number of common consultants can be trained easily to help the vast needy people with available inexpensive common instruments. Scar ectopic is usually pocket of weakness of one stich rather than the whole length of the scar. Any how decide after seeing the operative steps. Scanning report Semicircular incision was made at the cervicovaginal junction see how bladder goes up by pushing it up with the speculam, downward traction on the cervix and cutting the Vesico cervicle ligament By doing this uterine vessels will be kinked and compressed minimise the bleeding. One should have the knowledge of the tissue of that perticular organ to avoid their injury. Here missed abortion also minimise the bleeding. One can inject oxytocin with methargin around the live sac . See now beautiful bluish complete gestational sac has been exposed. Appreciate the dimplness at the site of implantation. Opening and complete Extraction of the sac. Removal of the retained bits by rubbing with agauz piece Once the sac was extracted implantation site collapse see how thick is upper and lower lips and the angles of equal size margins. One need not trim the edges it will compromise tissue and difficult in closing. Rent was closed in two layers. Trancervical foley’s may be of once choice. One can combined with the vaginal Tubectomy by doing posterior calpotomy if the pt wishes.Doing the procedure at the site of the isthmus may be difficult but it can be over by giving a downward gentle suprapubic pressure. Urine out put was adequate and clear. Specimen of the products of canception. Elderly once desire to have Hysterectomy can be combined in same sitting. I like to identify one among the practicing GENERAL Ob& g consultants doing some innovative things on common cases and managing all the cases of our speciality with optimal results and helping needy once. |
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