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By Howard Sharp MD

Prevention and administration of problems from Gynecologic surgical procedure is reviewed during this factor of Obstetrics and Gynecology Clinics. visitor Editor Dr. Howard Sharp has assembled a panel of specialists to pen articles on subject matters together with fighting energy-related accidents; Prevention, prognosis, and therapy of surgical website infections; significant vessel harm; Hysteroscopic problems; Surgical hemostasis; realizing cognitive mistakes in laparoscopic surgical procedure; combating neurologic damage in the course of surgical procedure; and Gastrointestinal and genitourinary tract accidents.

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Prevention and Management of Complications from Gynecologic Surgery, An Issue of Obstetrics and Gynecology Clinics (The Clinics: Internal Medicine)

Prevention and administration of problems from Gynecologic surgical procedure is reviewed during this factor of Obstetrics and Gynecology Clinics. visitor Editor Dr. Howard Sharp has assembled a panel of specialists to pen articles on issues together with combating energy-related accidents; Prevention, prognosis, and therapy of surgical website infections; significant vessel damage; Hysteroscopic problems; Surgical hemostasis; figuring out cognitive mistakes in laparoscopic surgical procedure; fighting neurologic damage in the course of surgical procedure; and Gastrointestinal and genitourinary tract accidents.

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Sample text

Measurement of media infusion and collection should take place in a closed system to allow as precise a calculation as possible of the absorbed volume. If an automated system is not available, the volume should be measured and the deficit calculated every 5 to 10 minutes. Although automated systems are generally unnecessary for diagnostic hysteroscopy and simple procedures such as polypectomy or tubal sterilization, they may be life saving in the context of more advanced resectoscopic procedures such as myomectomy of sizable lesions involving the myometrium.

Women with cardiopulmonary disease should be evaluated carefully for shifts in fluid volume. Absorbed volumes tolerated by healthy women may be catastrophic in the context of compromised cardiac function. The extent of systemic intravasation can be reduced by operating at the lowest effective intrauterine pressure (50–80 mm Hg), always trying to keep this at less than the mean arterial pressure, and completing the procedure as quickly as possible. 37,38 Detection of impending excess systemic absorption can prevent fluid overload.

Cardiac effects related to impaired myocardial conduction include bradycardia, cardiac arrest, shock, and convulsions. 5 mg) and adrenaline, and the initiation of appropriate cardiac resuscitation. The most common central nervous system manifestations are paresthesia of the tongue, drowsiness, tremor, and convulsions. Options for therapy include IV diazepam and respiratory support. ACCESS Adverse Events The most commonly encountered adverse events related to accessing the endometrial cavity are cervical laceration and perforation of the cervix or the corpus, the latter frequently resulting in premature termination of the procedure.

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