Study room 808
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Study room 808 pinned ยซ#gentiourinary_fisulaยป
Forwarded from pure angel
๐Ÿ’“๐Ÿฆ‹ ุฑุงุญ ุชุฌูŠู†ูŠ ู„ู„ูƒู„ูŠู†ูƒ ุจูŠุดู†ุช ammenorrhea ( no MC in her life ) ูŠุนู†ูŠ ุงู„ุฏู… ุงู„ูŠ ู…ุง ูŠู†ุฒู„ ุฑุงุญ ูŠุจู‚ู‰ ู…ุชุฌู…ุน ุนู„ู‰ ุดูƒู„ hematoma ู‡ู†ุง ุงูˆู„ ุดูŠ ุงุญุทู‡ ูุจุงู„ูŠ ู‡ูˆ imperforated hymen ุจุนุฏ ู…ุง ุดุฎุตุช ุงู„ุญุงู„ุฉ ุฑุงุญ ุงุฏุฒ ุงู„ุจูŠุดู†ุช ุนู„ู‰ ูˆุฑู‚ุฉ ุดุฑุทุฉ ูˆุชุญุช ุฅุดุฑุงู ุงู„ุงู‡ู„ ูˆุงู„ู‚ุงุถูŠ ุฑุงุญ ุงุณูˆูŠ hymenectomy โ€ฆ ( ุฑุงุญ ุงูุชุญ cruciate incision ูˆุงุณูˆูŠ drainage to blood storage ) ูˆู‡ุงู‡ูŠุฉ ุงู„ุตูˆุฑ ู…ู‡ู…ุฉ ู„ุงู† ุชุฌูŠ ุจุงู„ุณู„ุงูŠุฏุงุช


๐Ÿ’“๐Ÿฆ‹
โค1
Forwarded from pure angel
ู…ู† ุดุฑุญุช ุฏ. ุฒูŠู†ุจ ุนุจุฏ ุงู„ุฃู…ูŠุฑ vulva disease ูƒุงู† ู…ู† ุถู…ู†ู‡ู… bartholin abscess ูˆูƒุงู„ุช ุงู„ุจูŠุดู†ุช ุฑุงุญ ุชุฌูŠ ุนู†ุฏู‡ุง history of infection ูˆุจุนุฏ ูุชุฑู‡ ุจู„ุด ุนู†ุฏู‡ุง :-


โ–ซ๏ธlibia swelling
โ–ซ๏ธfever , pain


ูู…ู† ุณูˆูŠุช ุงูƒุฒุงู…ู†ูŠุดู† ุดูุช ุนู†ุฏู‡ุง bartholin abscess ุฑุงุญ ุชุทู…ู† ุงู„ู…ุฑูŠุถุฉ ูˆุชุดุฑุญ ู„ู‡ุง ุงู„ุญุงู„ุฉ ูุฑุงุญ ุชุณูˆูŠ Marsupialization ุงู„ูŠ ู‡ูŠ ุชุดู…ู„ ๐Ÿ‘‡๐Ÿป๐Ÿ‘‡๐Ÿป



ุงูˆู„ ุดูŠ ุงูุชุญ cyst ุจุดูƒู„ Linear incision ูˆุฑุงู‡ุง ุงุณูˆูŠ drainage to abscess ุจุนุฏู‡ุง ุฑุงุญ ุงุฎูŠุท ุงู„cyst border ูˆูŠู‡ near wall ูˆุงุจู‚ูŠ ุงู„ู…ุฑูŠุถุฉ ุนู„ู‰ antibiotic ู„ู…ุฏุฉ ุงุณุจูˆุน ๐Ÿค๐Ÿป

โ€”
โค1
Forwarded from pure angel
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Mersu-pialization ๐Ÿฆ‹
โค1
Forwarded from pure angel
ุงู„ Cervical conization ู‡ู†ุง ุฑุงุญ ุงู‚ุทุน part of cervix ุจูˆุงุณุทุฉ ablation ู‡ุฐู‡ ุดุฑุญู†ุงู‡ุง ููŠ cervical disease ุฅุฐุง ุชุฐูƒุฑูˆู† ุจุณ ู‡ุฐู‡ ู…ูƒุฑูˆู‡ุฉ ู„ุงู†ู‡ ุชุณุจุจ :-


โ–ซ๏ธinfection
โ–ซ๏ธhaemorrhage
โ–ซ๏ธcervical stenosis
โ–ซ๏ธcervical incompetence , infertility



ู‡ุฐู‡ ุดูˆูƒุช ุฃุณูˆูŠู‡ุง ุฅุฐุง ูƒุงู† :-



๐Ÿ‘‰๐Ÿปmicro-lesion
๐Ÿ‘‰๐Ÿปlesion donโ€™t clear by colposcopy
๐Ÿ‘‰๐ŸปLarge lesions not amenable to local measures
๐Ÿ‘‰๐Ÿปdisease donโ€™t response to therapy (postive cytology)


โ€ฆ
Forwarded from pure angel
Culdocentesis ๐Ÿ‘‰๐Ÿป aspiration peritoneal fluid by enter needle in vagina to pouch of Douglas in :


๐Ÿ”นEctopic pregnancy
๐Ÿ”นascites with ovarian cyst
๐Ÿ”นpelvic abscess


โ€ฆ
โค1
Forwarded from pure angel
๐Ÿฆ‹ุงุญู†ุง ุงุฎุฐู†ุง ู…ู† ุงุณุจุงุจ recurrent miscarriage ู‡ูˆ cervical incompetence ูู‡ู†ุง ุดู„ูˆู† ุชุญู„ ู‡ุฐู‡ ุงู„ู…ุดูƒู„ุฉ ุนู† ุทุฑูŠู‚ cerclage ( ุฑุจุท ุนู†ู‚ ุงู„ุฑุญู… ) ุงุญุท ููŠ ุงู„ุฃุณุจูˆุน 12-16 ู…ู† ุงู„ุญู…ู„ ูˆุงุดูŠู„ู‡ ููŠ ุงู„ุฃุณุจูˆุน 37 ู…ู† ุงู„ุญู…ู„ โ€ฆ ู„ูƒู† ุญุท ูุจุงู„ูƒ ู‡ุฐุง ุจูŠ complication ู…ุซู„ :-


๐Ÿ”นrisk of infection
๐Ÿ”นpeurperal fever
๐Ÿ”นrupture membrane
๐Ÿ”นrisk of anaesthesia
๐Ÿ”น Cervical dystocia
๐Ÿ”นincrease contractions so lead to Premature labour



ูˆู‡ุฐู‡ ู…ู…ู†ูˆุน ุชุณูˆูŠู‡ุง ุฅุฐุง ุงูƒูˆ contraction or rupture membrane or bleeding ๐Ÿฆ‹๐Ÿ’“



..
Forwarded from pure angel
dissection of vaginal mucosa & retraction of bladder & rectum to expose internal os.


๐Ÿšจ๐Ÿฆ‹ ุฑุงุญ ุงุณูˆูŠ incision ู„ู„ vaginal mucosa ูˆุงุฏูุน rectum &bladder ู„ูŠูˆุฑู‡ ุญุชู‰ ุงูƒุฏุฑ ุงุดูˆู cervical internal os ุจูˆุถูˆุญ โ€ฆโ€ฆ


Advantages ๐Ÿ‘‰๐Ÿป ุงู„ุฎูŠุท ุฑุงุญ ูŠูƒูˆู† ู‚ุฑูŠุจ ู…ู† internal os



Disadvantages:


1. bleeding during insertion
2. Difficulty in removing at term.



ู‡ูˆ ู†ูุณู‡ cerclage ุจู„ุณ ุงู„ูƒู„ุงู… ุงู„ูŠ ุจุงู„ุตูˆุฑุฉ ูู‚ุท ู„ู„ุชูˆุถูŠุญ ๐Ÿšถ๐Ÿปโ€โ™‚๏ธ๐Ÿšถ๐Ÿปโ€โ™‚๏ธ



ุŒุŒ
Forwarded from pure angel
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ุดูˆู ุดู„ูˆู† ุฏุฎู„ ุงู„ุฎูŠุท ุจุงู„ internal os ๐Ÿšจ
Forwarded from pure angel
ุงุณุชุฃุตุงู„ ุงู„ุฑุญู… hysterectomy ู…ุฑุฉ ุฏูƒุชูˆุฑุฉ ู…ุตุฑูŠุฉ ูƒุงู„ุช ู„ุงุฒู… ู…ู† ุชููƒุฑ ุจูŠู‡ุง ุชูƒูˆู† ุนู†ุฏูƒ ุงู‚ุตู‰ ู…ุฑุงุญู„ ุงู„ุนุงุทูุฉ ูˆุงู„ุฅู†ุณุงู†ูŠุฉ ู…ู† ุชุดุฑุญ ุงู„ุญุงู„ุฉ ู„ู„ู…ุฑูŠุถุฉ ู„ุงู† ุงู„ู…ุฑูŠุถุฉ ู…ู‡ู…ุง ูŠูƒู† ุญุชู‰ ู„ูˆ ุนุฌูˆุฒ ู…ู† ุชุณุฃุตู„ ุงู„ุฑุญู… ุฑุงุญ ุชุญุณ ุจู†ู‚ุต ุจูŠู‡ุง ุฒูŠู† ู„ุนุฏ ู‡ุฐู‡ ูŠู…ุชู‰ ุฃุณูˆูŠู‡ุง :ู 


๐Ÿฆ‹cancer
๐Ÿฆ‹prophylactic
๐Ÿฆ‹placenta accrete
๐Ÿฆ‹sever vaginal prolapse
๐Ÿฆ‹sever endometriosis or adenomyosis
๐Ÿฆ‹fibroid in female with complete family




โ€ฆโ€ฆโ€ฆโ€ฆโ€ฆ


ุทุจุนุงู‹ ู‡ูˆุงูŠุฉ ู…ุฎุงุทุฑ ุจูŠู‡ุง ู…ุซู„ุงู‹ sever haemorrhage (ูŠุณุจุจ ู…ูˆุช ุงู„ุจูŠุดู†ุช ) ุงูˆ risk of anaesthesia ุงูˆ injury in ureter or bladder or bowel ูˆูƒุฐู„ูƒ UTI,thrombophlebitis,fistula



๐Ÿšถ๐Ÿปโ€โ™‚๏ธ๐Ÿšถ๐Ÿปโ€โ™‚๏ธ
Forwarded from pure angel
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๐Ÿฆ‹๐Ÿ’“myocetomy




ูˆู‡ูŠ
ุนู…ู„ูŠุฉ ุฅุฒุงู„ุฉ fibroid ู…ู† ุงู„ุฑุญู… ููŠ ุญุงู„ุฉ ูƒุงู† ู…ุณุจุจ infertility, pain ,amenorrhagia ูˆู„ูƒู† ู‡ุฐู‡ ุจูŠู‡ุง risk of ;-


โ–ซ๏ธinfection
โ–ซ๏ธadhesion
โ–ซ๏ธhaemorrhage
โ–ซ๏ธhaematoma formation
โ–ซ๏ธrupture of uterus in pregnancy


..
Forwarded from pure angel
Tubal sterilisation by :-



๐Ÿ‘‰๐Ÿปhysteroscopy

๐Ÿ‘‰๐Ÿปlaproscopy (clips ,ring ,electrocutery)

๐Ÿ‘‰๐Ÿปmini laparotomy by suprapubic incision (ligation ,cutery )




๐Ÿ’“๐Ÿฆ‹
Forwarded from pure angel
Laparoscopic Ovarian Drilling for PCOS treatment ๐Ÿšจ


.
Forwarded from pure angel
Cystectomy this first choice in chocolate cyst and other type of ovarian cyst


๐Ÿšถ๐Ÿปโ€โ™‚๏ธ
Forwarded from pure angel
Colposcopy ๐Ÿšจ๐Ÿšถ๐Ÿปโ€โ™‚๏ธ
Forwarded from pure angel
ู†ุจู‡ุช ุนู„ูŠู‡ุง ุฏ.ุฏูŠู†ุง ๐Ÿšถ๐Ÿปโ€โ™‚๏ธ๐Ÿšถ๐Ÿปโ€โ™‚๏ธ
Forwarded from pure angel
๐Ÿšจ๐Ÿšจ
Forwarded from pure angel
ูˆุงุถุญุฉ ูˆู…ู‡ู… ุฌุฏุงู‹ indication ู…ุงู„ุชู‡ุง ุงู„ูŠ ู…ุฐูƒูˆุฑุฉ ุจู…ู„ุฒู…ุฉ AUB ๐Ÿšถ๐Ÿปโ€โ™‚๏ธ๐Ÿšถ๐Ÿปโ€โ™‚๏ธ
Forwarded from pure angel
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Ectopic pregnancy- salpingostomy
Forwarded from pure angel
โ˜๐Ÿปโ˜๐Ÿป