Family planning by surgical sterilization, bilateral partial salpingectomies. FINAL DIAGNOSES 1. Family planning by surgical sterilization, bilateral partial salpingectomy. 2. Retention cysts, multiple, bilateral infundibulum and uterine body. OPERATION Bilateral partial salpingectomies, infundibulectomies, removal of the retention cysts from the uterine body and tubes. ADMITTING SUMMARY This patient entered the hospital on September 10, 2013 for elective surgical sterilization, bilateral partial salpingectomies. This patient has obstetrical history of gravida 2 para two and is entirely satisfied with her family situation and wished to have this surgical procedure to terminate her reproductive plan. X-RAY AND LABORATORY Routine chest xray and
other laboratory examinations revealed to be satisfactory for operative condition. COMPLICATIONS DURING HOSPITALIZATION None. DISCHARGE SUMMARY During the course of the hospitalization, the patient has gone through said surgical procedure on September 11, 2104. There was no immediate postoperative hemorrhage or any other complication noted. During the course of the recovery period, the patient made a satisfactory progress except for usual low-grade postoperative fever, and occasional cough. Re-evaluation prior to dismissal revealed temperature had returned to normal, the patient was feeling well, ambulating well, having a good appetite, and all systems appeared to be satisfactory enough to be dismissed. Incision was inspected on September 14, 2014, without evidence of infection or drainage. New dressing applied. FOLLOWUP PLAN Personal care and activities at home were discussed. First followup appointment was made to my office for September 19, 2104, to remove stitches and reexamination of the incision. No medication prescribed.
The first laparoscopic cholecystectomy (LC) using keyhole approach was done by Professor Mouret of Lyon, France in 1987, when he was completing a gynecologic laparoscopy on a woman also suffering from symptomatic gall stones, he removed it laparoscopically instead of opening up. Dr. Eddie Reddick reported 100 cases of laparoscopic cholecystectomy in 1989. The classical four port technique of LC as described by Reddick became the most widely adopted technique.
The Bishop score is a pelvic scoring system developed to make it easier to determine whether a multiparous woman was a suitable candidate for induction of pregnancy. Although the information in the Bishop score was known by many obstetricians for many years, Edward H. bishop is credited because he pulled the pieces together and formed an organized system accompanied by research and statistics to back up his findings. His paper is called the “Pelvic Scoring for Elective Induction”. In this paper, Bishop describes basic minimal requirements that must be met before any patient can be considered for elective induction of labor (1964).
Authors have a variety of motives for writing, which are termed as the author’s purpose. The four main purposes for writing are to express oneself, to explain or inform, to entertain, or to persuade. In the nonfiction story, "The First Appendectomy" written by Dr. William Nolen, the author's purpose is to inform.
...ves the entire breast and the nipple while leaving the pectoral muscles and axillary lymph nodes intact. This surgery has reduced the occurrence of breast cancer by 90%.
Deering, S.H. (2004). Abruptio placentae. Department of obstetrics and gynecology: Madigan army medical center, 2, 3.
For many years, infertile couples have had difficulty facing the reality that they can not have children. According to Nidus Information Services Incorporated, 6.2 million women in the United States are infertile. This problem leads to many options. A few options have been used for a long period of time: the couple could adopt a child or keep trying to have a child themselves. For those couples that want to have their own children, there are new options arising. In vetro fertilization is an option that gives couples the chance to have a doctor combine the male's sperm and the woman's eggs in a petri dish and implant them into the woman's womb after the artificial conception. This may result in multiple pregnancies - more than five in some cases. This does not only occur in implantation, however. Many times the patient's doctor will ask her to consider selective reduction: aborting a few fetuses to save the ones she can. In a case of multiple pregnancy, selective reduction should be considered an option.
“Partial-Birth Abortion is a procedure in which the abortionist pulls a living baby feet-first out of the womb and into the birth canal (vagina), except for the head, which the abortionist purposely keeps lodged just inside the cervix (the opening to the womb).” (National Rights to Live, nrlc.org)
The opportunity to bring life into the world is a priceless moment, and for that to be threatened by a disease; such as Placenta Previa, is heartbreaking. Placenta previa is commonly described as the imbedding of the placenta over or close to the cervix. According to the Permanente Medical Group, during a normal pregnancy the placenta forms at the top part of the uterus far from the cervix. However in placenta previa, the placenta tends to attach to the lower section of the uterus either covering or partially over the cervix, making it almost impossible for a normal delivery (vaginal birth) to take place (Placenta Previa). Placenta previa complicates about 1 in every 200 deliveries and is one of the top leading causes of vaginal bleedings for the second and third trimester (Getahun). It is also related with the escalation of risks of maternal and infant illness and death (Getahun). Instead of there being a specific or many solutions over the years, doctors have come to agreement with different treatments for placenta previa. The obvious solution to placenta previa is to reduce your risks by avoiding cigarettes and any type of drugs, try to reduce your use of abortions an cesarean section, meaning no elective C-sections (The Bump). However, because the reduction in the things above is unlikely due to the mind-frame and unawareness of today’s women, the medical board has to think of alternative treatments to placenta previa, such as bed rest, constant monitoring through-out the pregnancy, and cesarean section. In this essay, I will evaluate the above listed treatments, which stage the doctor will suggest the treatment and explain which I believe is best.
mother has cancer in the womb and needs to remove it in order to keep
“Second, eggs are retrieved through a minor surgical procedure that uses ultrasound imaging to guide a hollow needle through the pelvic cavity to
Bacterial vaginosis is identified with patient with high incidence of endometritis and pelvic inflammatory disease status post abortion and/or gynecological procedures (Hainer & Gibson, 2011). This vaginal infection, bacterial vaginosis, has been associated with status post and postpartum endometritis, pelvic inflammatory disease (PID), and during pregnancy, late fetal loss and spontaneous preterm birth (Verstraelen, Verhelst, Vaneechoutte, & Temmerman, 2010).
the womb, the doctor uses the procedure called manual vacuum aspiration or dilation and evacuation known as D&E. Both procedures use suction to empty the womb, M.V.A known as manual vacuum aspiration uses a handhold tool, while D&E is used with a suction machine and other tools. For the M.V.A procedure the latest you can wait is around twelve weeks of pregnancy. The cut off for D&E is before the end of thirteen week of your pregnancy.(“What is surgical abortion?”). Surgical abortion is nearly one hundred percent effective. In conclusion medical abortion is another procedure that occurs within a certain amount of time.
Uterine Fibroids is a common medical condition that occurs generally in women in reproductive age. Fibroids are considered as benign tumors that grow up in the muscular wall of the uterus. Fibroids are also called leiomyoma or myoma. The size of the fibroids may vary from small sizes (apricot seed) to large sizes (similar to a melon). When fibroids rise up to a large size “The uterus expands to make it look approximating to a 6 or 7 months of pregnancy”. (Gynecologists). They also can grow up as an abnormal whole unit attach to the uterus or develop similar to grapes in different areas around the uterus. (See figure 1)
Dozens of couples in the United Kingdom are opting to have this done so they can give birth to free from disease
Starting with medical diagnosis, an accurate history and physical exam will be conducted to rule out any other conditions. Being honest and open in regards to all sexual activities, number of partners to difficulties in emergency cesarean can help with an accurate diagnoses. Pelvic and gynecological exams can be challenging, even impossible to complete on the first visit due to the intensity of discomfort. Once a proper diagnosis is given, a physician will go through and suggest the right treatment for the patient to complete. In regards to Vaginismus it is curable and treatable through the following procedures; pain management, antidepressants, surgery, pelvic floor therapy, counseling and proper