Ultrasound-Guided Hysteroscopic Resection of Severe Intra-Uterine Adhesions

Jul 8, 2019 | 157 Views

Kelli Flemming, Sukhbir Sony Singh

This video outlines a classification system for intra-uterine adhesions and describes how ultrasound can be used to help facilitate lysis of adhesions by hysteroscopy.

Ultrasound in the Diagnosis of Endometriosis

Jul 8, 2019 | 207 Views

Sugandha Agarwal, Vincent della Zazzera, Margaret Ann Fraser, Sukhbir Sony Singh

This video discusses the various levels and techniques of ultrasound in the setting of endometriosis and highlights specifics markers of endometriosis to investigate for.

Ultrasound-Guided Hysteroscopy Following Endometrial Ablation

Sep 24, 2020 | 22 Views

Sarah Smith, Tina Ngan, Huse Kamencic

This video abstract demonstrates simultaneous use of pelvic ultrasound and hysteroscopy to access an ablated endometrial cavity. Endometrial ablation is commonly used to treat abnormal uterine bleeding. It can cause cervical stenosis and adhesions inside the endometrial cavity creating future challenges in accessing the cavity. Failure of endometrial sampling following endometrial ablation is found to be 23 to 26%. This video demonstrates that ultrasound-guided hysteroscopy on a scarred and distorted endometrial cavity is safe and cost efficient. It facilitates access into the uterine cavity and prevents false passage and uterine perforation.

The Visceral Slide Test and the Prediction of Intraadominal Adhesions

Sep 24, 2020 | 24 Views

Peter Thiel, Justin Mui

This video presents a description and demonstration of the visceral slide test, which can be used preoperatively to detect intraabdominal adhesions. The test is performed with the probe is aligned in the sagittal plane and settings optimized to visualize the plane between the rectus abdominis and the viscera. The patient is then asked to take a large breath in while the movement of the viscera is observed. This rapid and simple test can be completed in the clinic, on the day of surgery, or in the operating room following anesthesia. Possible benefits of the visceral slide test include more informed discussion regarding individual surgical risk, accurate prediction of adhesion presence or absence, and a reduced risk of bowel injury. The visceral slide test has been shown to be both sensitive and specific in the prediction of intraabdominal adhesions and is a valuable tool for the laparoscopic surgeon.