Protocols For Office Gynecologic Surgery

As hospital costs escalate and gynaecologists become more skilled at non-invasive techniques, a growing number of diagnostic and therapeutic procedures can be carried out in the office under short-acting or local anesthesia. The second edition of this handbook for practicing gynaecologists reflects this change, and covers all diagnostic and therapeutic procedures possible in the office setting. This is greatly to the patient's advantage from a psychological as well as an economical and logistical standpoint. The important advances here in terms of new equipment and techniques include laparoscopy for sterilization and biopsy, the use of ultrasound in pregnancy termination, to name a few. Other diagnostic procedures (breast, vulvar and vaginal biopsies; urethrocystoscopy; and endometrial biospy) and other local therapeutic maneuvers (eg, conization) can also be performed in the office, as well as minor procedures performed in the first trimester of pregnancy (eg, amniocentesis).

Expanded and updated, the new edition of the bestselling Clinical Protocols in Obstetrics and Gynecology is the definitive quick-reference for use in office practice and hospital settings. With information drawn from ACOG technical bulletins, OB/GYN publications, articles, textbooks, computer sources, and the author's vast personal experience, outl

Gynecology is a procedure-related field that, like other specialties, has moved toward minimally invasive procedures that can be performed in the office setting. This issue of the Obstetrics and Gynecology Clinics covers the most commonly performed gynecologic procedures performed in the office setting. Colposcopy, Cryosurgery, LEEP, sterilization, D and C, and Urogynecologic procedures are all covered, along with articles on surgically implanted contraceptives and surgical abortion.

Recent trends in medicine have pushed many gynecologic procedures to the outpatient setting, whether in-office, in small medical ambulatory surgery centers, or in procedure rooms. Office-Based Gynecologic Surgical Procedures covers both basic and advanced procedures, from biopsy and saline ultrasound to cystoscopy. It answers the "How?", "What?", and "When?" of setting up, preparing for, and confidently performing office procedures. While appropriate training and certification in these procedures such as cystoscopy and hysteroscopy is needed, this book is an excellent resource for advice and tips on how to safely transition from the technique used in the operating room. It also provides the necessary algorithms and in-depth instructions pertinent to performing these types of procedures effectively in the office setting. A chapter on patient safety in the office is also included. Office-Based Gynecologic Surgical Procedures is ideal for established OBGYNs in practice who want to expand their range of procedures offered in-office, fellows in Women's Health, advanced nurse practitioners, recent OBGYN residency graduates, and family medicine physicians eager to familiarize themselves with women's health procedures.

This text offers 'how to' information on the use of the hysteroscope in an office setting. Provides guidelines for the selection of the proper equipment, when to use the procedure, nursing requirements and how instruments are sterilized. Covers the technique for diagnostic hysteroscopy step by step, as well as normal and pathologic findings associated with hysteroscopy. Simpler procedures such as IUD removal or endometrial biopsy are also covered. Includes management of complications, falloposcopy and the future of hysteroscopy.

This book is the first comprehensive, authoritative reference that provides a broad and comprehensive overview of Enhanced Recovery After Surgery (ERAS). Written by experts in the field, chapters analyze elements of care that are both generic and specific to various surgeries. It covers the patient journey through such a program, commencing with optimization of the patient’s condition, patient education, and conditioning of their expectations. Organized into nine parts, this book discusses metabolic responses to surgery, anaesthetic contributions, and optimal fluid management after surgery. Chapters are supplemented with examples of ERAS pathways and practical tips on post-operative pain control, feeding, mobilization, and criteria for discharge. Enhanced Recovery After Surgery: A Complete Guide to Optimizing Outcomes is an indispensable manual that thoroughly explores common post-operative barriers and challenges.