yep, just google Essure tubal occlusion

• OR term - csrmt
  • yep, just google Essure tubal occlusion - moon1010

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He stutters here after saying in the HPI:  In regard to her breast cancer, she did have a right mastectomy in 1992.  Unfortunately, she had a *recurrence of/uh colloid* occlusion of the left ureter, for which she had a resultant left nephroureterectomy in 1996.

TIA

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Laparoscopic Bilateral Tubal Ligation Report

Preoperative Diagnosis: Multiparous female desiring permanent sterilization.

Title of Operation: Laparoscopic bilateral tubal ligation with Falope rings

Laparoscopic Bilateral Tubal Ligation

Anesthesia: General endotracheal

Findings At Surgery: Normal uterus, tubes, and ovaries.

Description of Operative Procedure

After informed consent, the patient was taken to the operating room where general anesthesia was administered. The patient was examined under anesthesia and found to have a normal uterus with normal adnexa. She was placed in the dorsal lithotomy position and prepped and draped in sterile fashion. A bivalve speculum was placed in the vagina, and the anterior lip of the cervix was grasped with a single toothed tenaculum. A laparoscopic bilateral tubal ligation uterine manipulator was placed into the endocervical canal and articulated with the tenaculum. The speculum was removed from the vagina.

An infraumbilical incision was made with a scalpel, then while tenting upon the abdomen, a Verres needle was admitted into the intra-abdominal cavity. A saline drop test was performed and noted to be within normal limits. Pneumoperitoneum was attained with 4 liters of carbon dioxide. The Verres needle was removed, and a 10 mm trocar and sleeve were advanced into the intra-abdominal cavity while tenting up on the abdomen. The laparoscope was inserted and proper location was confirmed. A second incision was made 2 cm above the symphysis pubis, and a 5 mm trocar and sleeve were inserted into the abdomen under laparoscopic visualization without complication.

A survey revealed normal pelvic and abdominal anatomy. A Falope ring applicator was advanced through the second trocar sleeve, and the left Fallopian tube was identified, followed out to the fimbriated end, and grasped 4 cm from the cornual region. The Falope ring was applied to a knuckle of tube and good blanching was noted at the site of application. No bleeding was observed from the mesosalpinx. The Falope ring applicator was reloaded, and a Falope ring was applied in a similar fashion to the opposite tube. Carbon dioxide was allowed to escape from the abdomen.

The instruments were removed, and the skin incisions were closed with #3-O Vicryl in a subcuticular fashion. The instruments were removed from the vagina, and excellent hemostasis was noted. The patient tolerated the procedure well, and sponge, lap and needle counts were correct times two. The patient was taken to the recovery room in stable condition.

I found a bunch of techniques, but not this one.

Google is great for retrieving anything faster than the speed of light *lol* - but if the info comes from a nonverifiable medical website, be very wary.  There are a few I trust only...the NIH for one (Nat'l Institute of Health) and the CDC (Center for Disease Control) and a few others out of the government actually.

As for prescription places, I trusted rx.com for far too long, there are many more reliable drug websites out there... medilexicon.com is a great site and to confirm a proper name of a disease or things like that, there is whonamedit.com which, if you write to the site owner, can be added to (I have done some communication with the site owner so this is 100% true). 

When I first started using google in MT work about 8 years ago as google is not that old, (got online 12 years ago, been an MT since 1980), I had looked up Spironolactone, and Google gave the spelling to me incorrectly and (who knew it was wrong?!?!??) I used their spelling and I was wrong. 

So, only advice is be VERY CAREFUL what YOU CHOOSE to use as far as websites go regarding MT/ME work because in the end you're the one responsible....not google. 

5 French Weinberg catheter and the standard Seldinger. technique

but you can only view it at google if you click on CACHE because it's password protected site in pdf.............

Go to Google and type in "Moreland hip revision."  Good luck!