Outpatient hysteroscopy is a new approach that combines the benefits of a classical hysterocopy under general anaesthetic while at the same time avoiding the need for general anaesthetic or hospital admission.
Small polyps, adhesions or other lesions can be treated at the same time with minimal discomfort. The patient is discharged within 20 minutes after the procedure is complete.
MVA (Manula Vacuum Aspiration) a novel technique where the remaining products of conception are removed under local anaesthetic in an outpatient setting. The procedure is safe and fast and performed under sonographic monitoring. This means that the endometrial cavity is checked before and after the procedure to ensure that the process is complete. the pain associated with the procedure is minimal and allows direct return to everyday activities.
1 in 10 pregnancies in the first trimester will end up miscarrying. The majority of reason for the majority of them is chromosomal abnormalities. In other ways this is natures way of deciding which pregnancies should continue and which should not. Traditionally miscarriage has been managed with curettage ( DnC) under general anaesthetic. In cases where the woman wants to avoid surgery or MVA the miscarriage can be managed medically. This involves taking tablets as instructed by the doctor ( both orally and vaginally) to facilitate the process. The success of this procedure if the cases are selected carefully approaches 80-85%.
The Mirena coil is a very effective contraceptive device and is also excellent at managing mennorhagia and it can be used in the treatment of endometriosis among other things. The insertion is fairly straightforward and the device is effective for up to 5 years.
The contraceptive implant is also very efficient as a contraceptive device and is a suitable choice for women who do not want the mirena coil or the contraceptive pill.
An Aqua scan is a pain free quick technique to investigate the endometrial cavity without the need for anaesthetic.
It is performed in the gynaecological office and it takes around 5-10 minutes maximum.
During the procedure a very fine catheter is inserted through the cervix and small amount of saline is infused in the endometrial cavity under sonographic surveillance.
the diagnostic sensitivity of the procedure is equivalent with that of a hysteroscopy.
Treatment of a bartholin cyst / abscess under local anaesthetic is a new approach that takes place in the gynaecological office without the need for general anaesthetic.
The cyst/abscess is drained and a small catheter is inserted within the cyst base to allow it to heal.
The procedure is done with the use of local anaesthetic and hence the patient can leave the office within a few minutes after the procedure is completed.
