Doctor insights on:
Indications For Dilatation And Curettage
Depends why: Often a d & c may be done under sedation with Propofol and other meds such as versed or fentanyl. The gyn doctor may use local anesthesia around the cervix. If it's an emergency situation where the patient doesn't have an empty stomach, if the patient is extremely obese, or if there is heavy bleeding, general anesthesia may be safest. The ob/gyn and anes doctors will decide the best plan. ...Read moreSee 3 more doctor answers
Dilatation and Curettage, known as a D and C, is a common procedure where the cervix is dilated and the doctor will clear the uterus of pregnancy tissue. It can be performed in the office or in an outpatient procedure center. It is done under sedation ...Read more
Outpatient general anesthesia for hysteroscopy with dilation curettage would the patient receive little anesthesia since the procedure is short?
How effective is the Acessa, radio ablation treatment for uterine fibroids? And are there any side effects or risks?
Limited use: This is a newer technology and not widely available. Doctors who use it really like the results but there are not many trained and ready to do this procedure. ...Read more
Free flow: done for obstruction. STDcan cause certain structures and once treated these need opening. Generally a low risk of bleeding and recurrence ...Read more
What are some more extensive evaluations and followup procedures to expect after multiple abnormal paps, cone biopsies and a leep procedure. ?
You named them: The procedures used to evaluate for pre-cancer cells of cervix are: paps, hpv dna probe, cervical biopsy, leep and cold knife conization of cervix. Typically a doctor will remove affected tissue of a cin 3 biopsy until the margins are clear of abnormal cells. At 29, docs should be conservative and try to remove as little tissue as possible, so not to ^ ur risk cervical incompet and preterm birth. ...Read more
I am going to undergo removal of malignant 0.7cm nodule along with the surrounding tissue followed by the reconstruction of one breast. Should i get one anaesthesia with both surgeries in tandem or get the removal done and wait for a few weeks for the rec
For a breast : Reconstruction after a total modified radical mastectomy a tissue expander can be placed immediately after the surgery by the plastic surgeon. But, the plastic surgeon will expand later and you will need another surgery to finished the process of reconstruction. Consult with your surgeons for specifics for your case. ...Read moreSee 3 more doctor answers
Depends: Hydrodistention is done for diagnosis and treatment of interstitial cystitis, laparoscopy for many reasons, usually short procedures. More important is that they are done well and achieve the expected goals. If you are asking about results, some patients may go years in between hydrodistentions. ...Read more
What are the benefits and risks of having an open presacral neurectomy done for stage 3-4 endometriosis with 4 previous laps. Removing endo&adh.?
Small instrument: An iud folds up for insertion, so the cervix does not have to be dilated very wide (only about 3-4mm). In some women who have given birth before, it is sometimes not even necessary to dilate the cervix to get the iud properly placed. If dilation is needed, a small, sterile instrument with a rounded tip is used; sometimes injecting a local anesthetic is sufficient to relax the cervix open enough. ...Read more
Preterm labor: To evaluate a patient for premature labor, it is essential to monitor uterine contractions and fetal heart beat. An early cervical examination and a follow up cervical examination will tell if there has been cervical change. Cervical change is a hallmark of premature labor. If there is cervical change, then treatment can be started. ...Read more
When complicated: Most diverticulitis is successfully treated with antibiotics. Indications for surgery include free perforation with sepsis, an abscess that can't be treated with percutaneous drainage, fistulas to other organs, strictures or obstruction, and occasionally numerous recurrent episodes of diverticulitis. ...Read moreSee 2 more doctor answers
I'm being evaluated for heart surgery. Specifically an aorta heart valve replacement and possibly surgery for an enlarged aorta measuring 5.1 cm. Would the combination of the above preclude me as a candidate for minimally invasive surgery or would the tr
Depends: On the technology and skill of the surgeon and medical center where you go. Both procedures can be done percutaneously/endovascular by entering the vessels in your groin. Whether both can be done at the same time is something only your surgeon/cardiologist should discuss with you. Minimally invasive valve surgery is usually done for pts who would not be able to tolerate an open procedure. ...Read moreSee 9 more doctor answers
Following HCG levels: After a woman has a D&C to remove a molar pregnancy, it is usually recommended that she go on a reliable method of birth control and avoid conceiving for a year. Serial measurements of the HCG level are done and are important to determine if the molar prenancy has been completely removed and then to make sure that there is not reocurrance, which is associated with a poorer outcome. ...Read moreSee 1 more doctor answer
What preparation is required for the dghal or doppler guided halo? Will a local or general anesthetic be required?
Depends on patient: These are questions to be discussed with one's physician since one's age, weight, & physical condition influence how one is medicated & managed during & after the procedure. The surgeon may decide to use conscious sedation instead of general anesthesia. The doc will also advise which meds should or should not be taken the day of procedure. ...Read moreSee 1 more doctor answer
What is the success rate for the "firm" procedure for atrial fibrillation and are there any additional risks having it done over a normal ablation
Alternate technique: My understanding is that FIRM (focal impulse and rotor modulation) ablation is, perhaps, a more advanced ablation system using a very sophisticated catheter that, purportedly, maps locations/rotors that seemingly could trigger & sustain AF. Success up to 80% in controlling AF for 2 years is reported, better than with standard ablation. Risks should be similar. Careful case selection is important! ...Read moreSee 1 more doctor answer
Can stent be used to open 100% blockage in an artery such as LAD during cardiac catheterization procedure . Cons and pros please. Thank.
Yes, if needed: Total blockage may occur suddenly - this is what causes a heart attack. Then the goal of the procedure is to get the blocked artery open asap (<90min) to save otherwise dying heart muscle. If the blockage is chronic, then it should be opened if the supplied muscle is alive and the patient's active lifestyle brings out symptoms. Stress scanning may be helpful to determine this. ...Read moreSee 1 more doctor answer
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