Lecture On D&C and D&E Procedures: Instruments, Technique & Complications | MBBS скачать в хорошем качестве

Lecture On D&C and D&E Procedures: Instruments, Technique & Complications | MBBS

This comprehensive medical lecture from Santiniketan Medical College & Hospital provides an in-depth look into the Dilation and Curettage (D&C) and Dilation and Evacuation (D&E) surgical procedures. Designed for medical students, gynecology residents, and healthcare professionals, this video covers the essential instruments, surgical techniques, and potential complications associated with these common obstetric and gynecological interventions. 👩‍⚕️ What You'll Learn in This Lecture: Introduction to D&C and D&E [00:00]: Understand the definitions and primary indications for Dilation and Curettage and Dilation and Evacuation, often performed for conditions like missed or incomplete abortions. Essential Surgical Instruments [00:48]: A detailed walkthrough of each instrument used in D&C/D&E procedures, including: Sponge Holding Forceps [01:14]: Learn its use in aseptic draping and dressing, holding tough structures, and repairing cervical tears post-vaginal delivery. Sims' Speculum [03:00]: Understand its role as an operative speculum for retracting vaginal walls during surgeries, cervical/endometrial biopsies, and draining pus/blood. Allis Tissue Forceps [03:43]: Discover its application for holding tough tissues like the rectus sheath and anterior cervical lip due to its traumatic teeth. Multiple Tooth Volsellum Forceps [05:08]: Learn about this highly traumatic instrument specifically used for holding the anterior lip of the cervix. Metallic Urinary Catheter & Stylet [06:04]: Understand its use for temporary bladder evacuation prior to the procedure. Uterine Sound [07:23]: Explore this malleable instrument for accurately measuring the length and angulation of the uterus, preventing perforation. Das's Dilators [11:35]: Learn about the serial dilation technique using various sizes of Das's dilators to gradually open the cervix. Ovum Holding Forceps [12:48]: Despite its misleading name, understand its actual function in evacuating products of conception (placental bits, membranes) from the uterus. Uterine Curette [15:01]: Distinguish between its blunt and sharp ends, and its use for scraping the uterine walls to remove remaining products. Proper Instrument Handling [15:51]: Learn the correct technique for holding finger-ring instruments and non-ring instruments (pen-holding fashion) for optimal control and safety. The D&C/D&E Procedure Step-by-Step [26:34]: Patient Positioning & Anesthesia [28:02]: Understand the lithotomy position and types of anesthesia (general, local via pudendal or paracervical block). Asepsis & Draping [30:42]: The importance of cleaning, draping, and visualizing the cervix. Cervical Dilation & Evacuation [31:36]: The sequence of using the uterine sound, dilators, and ovum forceps, along with the scraping technique using the curette. Potential Complications & Management [33:55]: Hemorrhage [34:11]: Discuss management with antifibrinolytic agents (Tranexamic Acid) and uterotonics (Methylergometrine, Oxytocin). Shock [39:39]: Understand both hemorrhagic/hypovolemic shock and neurogenic shock (due to cervical dilation). Uterine Perforation [40:50]: Recognize signs of perforation (loss of resistance) and its grave consequences (gut injury, sepsis), emphasizing preventive measures like pre-operative cervical softening with Misoprostol [44:17]. This lecture emphasizes precision, patient safety, and effective complication management in gynecological surgical procedures. SANTINIKETAN MEDICAL COLLEGE & HOSPITAL Real Classroom Demonstration/Lecture On: OBSTETRICS & GYNAECOLOGY by Dr. Sohan Bhowmick (MBBS Batch: 2023-24) Conducted on: 25-10-25