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EMAK
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Joined: 26 Nov 2006
Posts: 572
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 Posted: Sat Sep 22, 2007 3:20 am Post subject: Module 5: Core Surgical Skills |
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RCOG wrote : | Quote: | | You will need to demonstrate an understanding of the issues surrounding informed consent. This includes knowledge of the complication rates, risks and likely success rates of different gynaecology operations |
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rpwalavalkar
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Joined: 20 Jul 2006
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| Posted: Sat Sep 22, 2007 9:16 am Post subject: |
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emak,
what point are you trying to make with this post??
r
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Dr Miss. Raj Walavalkar MBBS MRCOG
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SR O&G Wessex Region |
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EMAK
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Posts: 572
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| Posted: Sat Sep 22, 2007 1:59 pm Post subject: |
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Raj. I put this from the new syllabus trying to cover all items in sequence as the syllabus contain a lot of details need to be discussed, so you can say I am trying to make a Data base here to cover part 2 syllabus,,,starting with this subject ,, I hope that Nick doesn't mind.   |
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rpwalavalkar
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| Posted: Sun Sep 23, 2007 7:55 am Post subject: |
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Dr Miss. Raj Walavalkar MBBS MRCOG
TealeFenning Administrator
SR O&G Wessex Region |
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EMAK
Century Club
Joined: 26 Nov 2006
Posts: 572
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| Posted: Sun Sep 23, 2007 5:13 pm Post subject: |
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Abdominal Hysterectomy
complication rates
1-anaesthetic complications:allergic reaction , delayed recovery.
2-fever, which can be a sign of a mild infection.
3-heavy bleeding during or after a hysterectomy.
4-may have blood-stained discharge
5-deep vein thrombosis occurs in less than 1 woman per 100.
6-accidental damage to your bladder or bowel
Serious risks includeTwo women in every 100 undergoing abdominal hysterectomy will experience at least one of these complications:
* Damage to the bladder and/or the ureter (0.7%) and/or long-term
disturbance to the bladder function.
* Damage to the bowel (0.04%).
* Haemorrhage requiring blood transfusion (1.5%).
* Return to theatre for additional stitches (0.6% – of these, in 39% the
procedure was completed vaginally).
* Pelvic abscess/infection (0.2%).
*Venous thrombosis or pulmonary embolism (0.4%).
* All operations carry some risk of death: 1 in every 4000.
Frequent risks include
= Wound infection and bruising.
= Frequency of micturition.
= Delayed wound healing.
= Keloid formation.
= Early menopause: evidence is inconclusive
extra procedures Blood transfusion (overall transfusion rate 1.5%).
Other complications:
Prolapse of the vagina
Back pain
Depression
Arthritis
Adhesions
| Quote: | | success rates of different gynaecology operations |
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EMAK
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Joined: 26 Nov 2006
Posts: 572
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| Posted: Sun Sep 23, 2007 5:18 pm Post subject: |
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Cervical screening tests
If the woman have had a total hysterectomy, she will not need to have cervical screening tests anymore. If she had a subtotal hysterectomy (the cervix is left behind), she should continue having cervical screening tests.
However, if the hysterectomy was to treat cancer, or a cancerous cell change, she will probably need to continue having cervical screening tests. GP can give her advise .
Last edited by EMAK on Sun Sep 23, 2007 5:27 pm; edited 1 time in total |
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EMAK
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Joined: 26 Nov 2006
Posts: 572
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| Posted: Sun Sep 23, 2007 5:22 pm Post subject: |
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Alternatives to hysterectomy
Medical treatment, hormonal including mirena, analgesia, etc.
Surgical interventions
Uterine Artery Embolisation
Endometrial Ablation and Resection
Microwave Endometrial Ablation (MEA)
Laser Ablation
Thermal Ballon Ablation
Myomectomy
Myoma Coagulation or Myolysis
Prolapse correction operations |
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salihabduallah
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Joined: 04 Sep 2007
Posts: 120
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| Posted: Fri Oct 05, 2007 6:30 am Post subject: |
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Uterine artery embolisation
[list=]The risk of hysterectomy or repeat uterine artery embolisation for treatment failure is around 10% at one year and 20-25% within five years
The risk of hysterectomy for complications is 2.9% at 12 months
The risk of premature ovarian failure is around 1-2% in most series but increases with age; it can approach 25% in women over 45[/list] |
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