Clinical Obstetrics and Gynecology
The specialized care of Women, with special emphasis on preventative care,
antenatal care, and delivery of both low and high risk patients.
Procedures Loop
electrode excision procedure
Procedure
Description:
A precancerous lesion of the cervix is shaved off the surface with an electried
wire electrode under local anesthesia.
What
To Expect:
After careful explanation and the opportunity to view a film on the subject,
the patient's cervix is anesthetized and examined, and the biopsy taken.
Preprocedure:
The patient should arrange for a competent caretaker to drive her home
afterwards.
Postprocedure:
The patient is asked to refrain from intercourse for a matter of several days
afterwards.
colposcopy
Procedure
Description:
The microscopic exam of the cervix to detect pre-cancerous abnormalities.
What
To Expect:
After viewing a film on the subject and receiving a brief explanation about
the indication from the physician and nurse, the cervix will be examined
carefull for precancerous changes. Biopsies of suspect areas may be taken.
It is only mildly uncomfortable and requires no anesthetic.
Preprocedure:
No unusual preparation is necessary.
Postprocedure:
The patient is asked to report any unusual bleeding or pain but can expect
several days of light bleeding. She is asked to refrain from intercourse
for several days to reduce pain and bleeding.
Hysteroscopy
Procedure
Description:
A fiber-optic lense of small diameter is placed into the uterus for the purpose
of examining its interior.
What To
Expect:
After the patient has been shown a film on the subject and received an
explanation from the doctor and nurse about the procedure, the cervix is
anesthetized with a small amount of local anesthetic and the hysteroscope
introduced into the uterus. The findings are visible on an adjacene monitor.
Preprocedure:
The patient should have a companion available to drive her home as the
anesthetic may cause some lingering distracting effects such as palpitations,
interfering with her ability to drive safely.
Postprocedure:
Light bleeding can be expected. Intercourse may be resumed whenever it is
comfortable.
