ARMC/RCRMC Obstetrics & Gynecology Residency Program

Home
Calendar
Resident Stuff
News Reel
About Us
SmoothDoctor Concept
Attending Physicians
Rotating Interns
Rotating Students
SmoothPA
Contact Us
Site Map
DO Applicants
ARMC Alumni
ARMC photos
Helpful Links
Hysteroscopy
There are two types: Operative and Diagnostic.
Always order the "Operative" tray because you never know when you'll need it! Basically, the diagnostic HSC is only used in the outpatient setting.  At least for right now, we are not doing any outpatient HSC.  So, you will always need to order the "Operative" tray when you do a HSC in the OR.  And you should always use Sorbitol or another distending medium that won't carmelize when the operative instruments are used.
 
Diagnostic Hysteroscope
This is an extra thin 30 degree scope that allows you to see, but not do anything!  You can diagnose and that's it!  If you see a polyp . . .too bad, because you can't do anything about it!  Because the 30 degree angle is steep, you won't be able to see any instruments that protrude from the end of the scope.
 
Operative Hysteroscope
This contains a 12 degree scope, "Igesias" working unit with cutting loop, insulator, and suction device.  The operative hysteroscope has a wider barrel than the Thin Line Diagnostic Scope; it has these 4 parts that lock into one another.  You can see your cutting loop at the end of your scope because the 12 degree angle allows you to see out the end of your scope.  The insulator keeps you from burning the uterus unintentionally, and the suction device allows you to suck out excess debris.

Cystoscopy
 
You will do cystoscopy and ureteral stent placement with Dr. Gaddis on most of his onc cases.  The cystoscope consists of 3 units: a 30 degree scope, a bridge (where you feed the stents down the barrel of the scope), and the irrigation port.
 
Dr. Gaddis uses saline distending medium.