PROCEDURES G
OFFICE GYNECOLOGICAL
By Dr. Islam Sidky, OBS/GYN department, Tawam Hospital, Al Ain, UAE
ynecologists are spending more time in the office and less time in the operating room.
More and more surgical procedures are being performed in the doctor’s office instead of in the operating room. The increasing number of office-based procedures necessitates new equipment and new training strategies, both designed specifically for the office setting. Many factors contribute to the current popularity of office-based gynecologic procedures, such as saving time. An operative hysteroscopy that would take one hour in the operating theatre, can be completed in around five minutes in the office. Also, evidence suggests that patients prefer to undergo procedures in the office, rather than in the hospital. However, there are many challenges
and opportunities in gynecological office- based procedures. As many surgical and medical procedures are moving from the
operating room to the doctor’s office, about 25 percent of all elective surgery procedures in the U.S. are done in the office now. Doctors must choose their patients carefully, and get training in emergency procedures should an incident occur. Office-based medical personnel must excel in information management so that appropriate patients are chosen, and adequate data is available should doctors need it. Regional anesthesia could be better utilized by those who use the office setting. Office- based procedures can create health risks if not performed with proper attention to safety. Fatal problems can arise if doctors and staff are not properly
trained, if patients are not selected carefully, and if emergency equipment and
drugs are not readily available. On the other hand, gynecology
residents are not currently trained to perform procedures in the office, and these techniques should become part of their curriculum. Guidelines should be established to help gynecologists identify patients who should not be anesthetized in the office, and offices should always be equipped to manage severe emergencies.
«Gynecologists are spending more time in the office and less time in the operating room»
56
www.lifesciencesmagazines.com
EXAMPLES OF OFFICE- BASED GYNECOLOGIC PROCEDURES Breast aspiration Bone density scanning Urdynamic testing Ultrasound; including saline sonohysterogram Colposcopy; treatment of abnormal pap smears
Page 1 |
Page 2 |
Page 3 |
Page 4 |
Page 5 |
Page 6 |
Page 7 |
Page 8 |
Page 9 |
Page 10 |
Page 11 |
Page 12 |
Page 13 |
Page 14 |
Page 15 |
Page 16 |
Page 17 |
Page 18 |
Page 19 |
Page 20 |
Page 21 |
Page 22 |
Page 23 |
Page 24 |
Page 25 |
Page 26 |
Page 27 |
Page 28 |
Page 29 |
Page 30 |
Page 31 |
Page 32 |
Page 33 |
Page 34 |
Page 35 |
Page 36 |
Page 37 |
Page 38 |
Page 39 |
Page 40 |
Page 41 |
Page 42 |
Page 43 |
Page 44 |
Page 45 |
Page 46 |
Page 47 |
Page 48 |
Page 49 |
Page 50 |
Page 51 |
Page 52 |
Page 53 |
Page 54 |
Page 55 |
Page 56 |
Page 57 |
Page 58 |
Page 59 |
Page 60 |
Page 61 |
Page 62 |
Page 63 |
Page 64