Operative Report PREOPERATIVE DIAGNOSIS: Perimenopausal blee…
Operative Report PREOPERATIVE DIAGNOSIS: Perimenopausal bleeding; possible endometrial hypoplasia POSTOPERATIVE DIAGNOSIS: Perimenopausal bleeding PROCEDURES: Hysteroscopy; D&C SPECIMEN TO LAB: Endometrial curetting ESTIMATED BLOOD LOSS: Less than 5 mL DESCRIPTION OF PROCEDURE: The patient was taken to the OR and, under satisfactory general anesthesia, was examined and noted to have a normal-size uterus. No adnexal masses were noted. She was prepped and draped in the routine fashion, the speculum was placed in the vagina, and the anterior lip of the cervix was grasped with a single-tooth tenaculum. The uterus sounded to 8 cm and easily admitted a #21 K-Pratt, so no further dilation was necessary. A 12-degree hysteroscope was placed, using lactated Ringer’s as the distending medium, and the cervical canal was normal. The cavity revealed just fronds of tissue. There was tissue sticking out that did not have a particularly polypoid appearance. No other lesions could be appreciated that were polypoid. Curettage with a Milan curette, a serrated curette, and then polyp forceps revealed minimal tissue, and one piece of tissue of 5 mm was revealed that might be consistent with what was seen on the previous sonogram. The hysteroscope was then replaced. No other lesions could be appreciated, and the walls appeared smooth. At this time, the hysteroscope and tenaculum were removed. The tenaculum site was touched with silver nitrate. The bleeding was minimal at the end of the procedure. She was taken to the recovery room in satisfactory condition. Procedure code:
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