a 36 year old female whom was scheduled for endometrial ablation due to menometorrhagia as well as a tubal ligation she has no children. She has a history of irregular periods, tobacco abuse, cocaine abuse, as well as alcohol abuse. She presented to the operative suite where a hysteroscopic endometrial ablation was performed as well as laparoscopic tubal ligation using Fische clips.
Diagnosis:
Procedure:
Diagnosis: Menometorrhagia, a condition characterized by heavy or prolonged menstrual bleeding, in a 36-year-old female.
Procedure: Hysteroscopic endometrial ablation and laparoscopic tubal ligation using Fische clips.
To better understand the diagnosis and procedure, let's break it down further:
Diagnosis explanation:
1. Menometorrhagia: This is a condition in which a woman experiences heavy and prolonged menstrual bleeding. It can be caused by various factors, including hormonal imbalances, uterine fibroids, polyps, or endometrial conditions.
Procedure explanation:
1. Hysteroscopic endometrial ablation: This is a minimally invasive procedure used to treat menometorrhagia. It involves the removal or destruction of the endometrial lining of the uterus using a hysteroscope, a thin surgical instrument inserted through the and cervix. This procedure aims to reduce or stop excessively heavy menstrual bleeding.
2. Laparoscopic tubal ligation: This is a surgical procedure performed to permanently prevent pregnancy by blocking or sealing the fallopian tubes. It is a common form of female sterilization. In this case, Fische clips were used, which are small titanium or polymer clips placed on the fallopian tubes to block them. The laparoscope, a thin and lighted surgical instrument, is used to guide and perform the procedure through small incisions in the abdomen.
Given the patient's history of irregular periods and the presence of menometorrhagia, the hysteroscopic endometrial ablation was performed to address the excessive bleeding. Additionally, as the patient has no children and wishes to avoid future pregnancies, the tubal ligation procedure was carried out using Fische clips through a laparoscopic approach. It is worth noting that the patient's history of substance abuse, including tobacco, cocaine, and alcohol, may have implications for her overall health and may be important considerations in her medical care.