Severe Asherman’s Syndrome – Hysteroscopic Adhesiolysis done By Dr.Pragnesh Shah M.D. F.I.C.O.G. скачать в хорошем качестве

Severe Asherman’s Syndrome – Hysteroscopic Adhesiolysis done By Dr.Pragnesh Shah M.D. F.I.C.O.G.

Severe Asherman’s Syndrome – Hysteroscopic Adhesiolysis done By Dr.Pragnesh Shah M.D. F.I.C.O.G., Hysteroscopic Surgeon #Hysteroscopicadhesiolysis for #Severeintrauterineadhesions done by #DrPragneshShah in a case if #Infertility with #scantymenstrual periods and #thinendometrium in #TVUSG. Hysteroscopy was done without cervical dilatation and 2.9 Hysteroscope with Bettochi’s sheath and Normal saline used as a distension medium. Video shows the tip of the hysteroscope introduced inside the cervical canal and its fluid which distends the cervix and uterine cavity. There were adhesions beyond internal os so 5F scissors introduced through the operating channel of Bettochi’s sheath and adhesions were cut with scissors and hysteroscope further introduced inside the uterine cavity under vision. Under vision lateral walls, central and fundal wall adhesiolysis done with scissor and opening up of endometrial lining guides the clue of the correctness of the cavity and in doubtful case withdraw the hysteroscope, see the cervical crypts and confirm that correctness in the cavity (but not in the false passage ) while cutting with a scissor. The goal should be to form a triangular adequate cavity and you should able to see both Ostia simultaneously when the tip of the hysteroscope is at internal os. The patient discharged a few hours after surgery. #Daycaresurgery.