manuale per un'isteroscopia moderna - Ginecologia

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TECNOLOGIA BIPOLARE NELL’ISTEROSCOPIA CAP. 10 lizzato. Una prolungata attivazione degli strumenti bipolari nella salina genererà continuamente H2 e O2 tramite elettrolisi, senza necessariamente vaporizzare il tessuto. D’altra parte, la corrente non passerà attraverso il mezzo di distensione se uno strumento monopolare non è a contatto con il tessuto. Conclusioni Fin dalla loro comparsa, l’efficacia della chirurgia bipolare durante interventi isteroscopici è stata analizzata da studi clinici. Le principali conclusioni che si possono trarre ad oggi sono che: - Nessuna paziente ha lamentato sintomi legati all’iponatremia - Il calo della sodiemia è significativamente più elevato con l’uso della chirurgia monopolare rispetto a quella bipolare. Bibliografia 1. Baggish M. Initiating a hysteroscopic program and hysteroscopic instrumentation. In Endoscopic Surgery for Gynecologists Edited by Sutton and Diamond. Publishers: Saunders. Pages 501-510 2. Loffer FD. Preliminary ex<strong>per</strong>ience with the Versapoint bipolar resectoscope using a vaporizing electrode in a saline distending medium. J Am Assoc Gynecol Laparosc 2000; 7:498–502. 3. Golan A, Sagiv R, Berar M, et al. Bipolar electrical energy in physiologic solution, a revolution in o<strong>per</strong>ative hysteroscopy. J Am Assoc Gynecol Laparosc 2001; 8:252– 258. 4. Isaacson K and Nardella P. (1997) Development and use of a bipolar resectoscope in endometrial electrosurgery. Journal of the American Association of Gynecologic Laparoscopists 4:385-391 5. MAUDE Database; www.fda.gov/cdrh/maude.html 6. Berg A, Sandvik L, Langebrekke A et al. A randomized trial comparing monopolar electrodes using glycine 1.5% with two different types of bipolar electrodes (TCRis, Versapoint) using saline in hysteroscopic surgery. Fertil Steril 2009; 91:1273– 1278. 7. Farrugia M. Monopolar and Bipolar Hysteroscopic Electrosurgery: New Insights into the Differences between Surgery in Insulating and Conducting Liquid Media Journal of Minimally Invasive Gynecology 16 (2009) S2 8. Vilos GA , D’Souza I , Huband D . Genital tract burns during rollerball endometrial coagulation . J Am Assoc Gynecol Laparosc . 1997;4:273–276 . Abstract | Full- 183
MANUALE PER UN’ISTEROSCOPIA MODERNA Text PDF (536 KB) | CrossRef 9. Vilos GA , Brown S , Graham G , et al. Genital tract electrical burns during hysteroscopic endometrial ablation: Report of 13 cases in the United States and Canada . J Am Assoc Gynecol Laparosc . 2000;7:141–147 . Abstract | Full-Text PDF (880 KB) | CrossRef 10. Vilos GA , McCulloch S , Borg P , et al. Intended and stray radiofrequency electrical currents during resectoscopic surgery . J Am Assoc Gynecol Laparosc . 2000;7:55–63 . Abstract | Full-Text PDF (2229 KB) | CrossRef 11. Munro MG . Factors affecting capacitive current diversion with a uterine resectoscope: An in vitro study . J Am Assoc Gynecol Laparosc . 2003;10:450–460 . 12. Malcolm G. Munro. (2004) Capacitive Coupling: A Comparison of Measurements in Four Uterine Resectoscopes. Volume 11, Issue 3, Pages 379-387 (August 2004) 184
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MANUALE PER UN’ISTEROSCOPIA MODER
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SOMMARIO Pag. 1. Diagnostica per im
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PREFAZIONE L’isteroscopia è prob
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CAPITOLO 1 DIAGNOSTICA ECOGRAFICA D
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L'EVOLUZIONE DELLO STRUMENTARIO IST
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INDICAZIONI ATTUALI ALL’ISTEROSCO
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CAPITOLO 4 TECNICA DELL’ISTEROSCO
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CAPITOLO 5 SEMEIOTICA ISTEROSCOPICA
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DIAGNOSI ISTEROSCOPICA DELL’IPERP
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MIOMECTOMIA CAP. 16 Definizione I m
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MIOMECTOMIA CAP. 16 tomucosi sembra
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MIOMECTOMIA CAP. 16 Essa, infatti,
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MIOMECTOMIA CAP. 16 Tecniche chirur
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MIOMECTOMIA CAP. 16 mL ed una discr
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MIOMECTOMIA CAP. 16 ca difficile ed
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MIOMECTOMIA CAP. 16 1) Escissione d
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MIOMECTOMIA CAP. 16 (III) Asportazi
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MIOMECTOMIA CAP. 16 l’elettrodo b
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MIOMECTOMIA CAP. 16 Glasser 1997 Ve
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MIOMECTOMIA CAP. 16 I dati della le
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MIOMECTOMIA CAP. 16 26. Isaacson K.
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ABLAZIONE ENDOMETRIALE CAP. 17 Intr
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ABLAZIONE ENDOMETRIALE CAP. 17 proc
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ABLAZIONE ENDOMETRIALE CAP. 17 Crio
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ABLAZIONE ENDOMETRIALE CAP. 17 Perc
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ABLAZIONE ENDOMETRIALE CAP. 17 perf
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ABLAZIONE ENDOMETRIALE CAP. 17 THE
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ABLAZIONE ENDOMETRIALE CAP. 17 zion
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ABLAZIONE ENDOMETRIALE CAP. 17 metr
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ABLAZIONE ENDOMETRIALE CAP. 17 •
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ABLAZIONE ENDOMETRIALE CAP. 17 grat
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ABLAZIONE ENDOMETRIALE CAP. 17 maco
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ABLAZIONE ENDOMETRIALE CAP. 17 31.
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ABLAZIONE ENDOMETRIALE CAP. 17 neco
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ABLAZIONE ENDOMETRIALE CAP. 17 95.
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CAPITOLO 18 SINECHIOLISI
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Classificazione Diverse classificaz
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za cervicale), parto prematuro, IUG
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306 MANUALE PER UN’ISTEROSCOPIA M
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Complicazioni MANUALE PER UN’ISTE
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Conclusioni L’adesiolisi isterosc
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quency of intrauterine adhesions af
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50. Fedele L, Vercellini P, Viezzol
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CAPITOLO 19 METROPLASTICA
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STERILIZZAZIONE TUBARICA ISTEROSCOP
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CAPITOLO 21 GESTIONE ISTEROSCOPICA
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