Hysteroscopic Removal of Retained Intrauterine Devices in Pregnancy скачать в хорошем качестве

Hysteroscopic Removal of Retained Intrauterine Devices in Pregnancy

The video presents a detailed guide on the hysteroscopic removal of intrauterine devices (IUDs) in pregnancy, highlighting the importance of this procedure given the elevated risks of spontaneous abortion and preterm labor associated with retained IUDs. It outlines preoperative planning, surgical techniques using minimal distension media and direct visualization, and post-procedure care, featuring case studies that demonstrate successful pregnancy outcomes following the removal. See full transcript and video here: https://cansagevideos.com/hysteroscopic-re... Presented By Dr. Ari Sanders Dr. Barry Sanders Affiliations University of British Columbia, BC Women's & Children's Hospital Timestamps (00:06) Background Information (00:42) WHO Recommendation (00:56) Pregnancy Management (01:16) Hysteroscopic IUD Removal (02:07 - 04:09) Case 1, 2, 3, 4: Procedure Video (06:09) Hysteroscopic IUD Removal (06:40) Case Outcomes The video presents a comprehensive overview of the hysteroscopic removal of intrauterine devices (IUDs) during pregnancy, an essential procedure given the increased risks of adverse outcomes such as spontaneous abortion and preterm labor associated with retained IUDs. The World Health Organization advises early removal of visible IUDs to enhance pregnancy outcomes, with alternatives discussed for cases where IUD strings are not retrievable. The video details the preparation, including preoperative planning and informed consent, and describes the surgical steps involved in removing the IUD using minimal distension media and hysteroscopic visualization, often aided by ultrasound. Four case studies are presented to illustrate the procedure, emphasizing the importance of gentle technique to avoid disrupting the gestational sac and ensuring successful removal on the first attempt. Each case highlights different aspects of the procedure, such as dealing with intrauterine mucus and the precise navigation of the hysteroscope to avoid harming the gestational sac. Post-procedure care involves confirming viability, same-day discharge, and follow-up to ensure continued healthy pregnancy, which underscores the procedure's overall safety and effectiveness. Overall, the presentation not only provides technical insights into the procedure but also reassures both medical professionals and patients about its safety when carried out with appropriate care and expertise. The successful outcomes, including term deliveries and the management of threatened preterm labor, demonstrate the procedure's efficacy in maintaining pregnancy health despite the initial complication of a retained IUD.