Index. Cambridge University Press Ambulatory Gynaecology: A New Concept in the Treatment of Women Edited by Kevin Jones.

Transcription

1 abnormal uterine bleeding 1, accreditation and training 51 epidemiology, guidelines and national targets organisation of service 43 primary diagnostic tool 50 accreditation 34, 51 acetic acid 28 acupuncture 20 adenomyoma 112 adenomyosis 44, 49, 112 adhesions, pelvic 88, 90 adnexal torsion adrenaline (epinephrine) 21, 22, 24 Advanced Life Support Provider 14 allergies, local anaesthetics 21 Ambu bag 16, 17 ambulatory gynaecology 1 10 establishing a service 8 9 monitoring, audit and patient safety 9 10 objectives 3 4 service delivery and training 7 8 strategic context 4 7 useful websites 11 amenorrhoea, after endometrial ablation 55, 57, 58 amethocaine 22 anaesthesia see also sedation, conscious analgesia after fibroid embolisation 115 inadequate 23 analgesic agents 18, anaphylaxis 23 4 anembryonic pregnancy 100 anticholinergic drugs 74 antiemetics 20 antihistamine 20, 24 anti-immunoglobulin D 103 antimuscarinic drugs 74 anxiety 17, 29 audit 9 10, 104 bagel sign 101, 102 bed days, savings 66 7 behaviour modification techniques 74 benzodiazepines 18 19, 23 beta-human chorionic gonadotrophin (ßhCG) 96, bicornuate uterus 88, 89 biopsy, transvaginal ultrasound guided core bladder training 74 blood pressure monitoring 15, 16 body mass index (BMI) 13 botulinum toxin injection bowel damage 59, 92 breakthrough bleeding 41 British Society for Colposcopy and Cervical Pathology (BSCCP) 28, 32, 34 British Society for Gynaecological Endoscopy 8, 51, 93 bupivacaine 21, 22 business plan, model 60, 62 9 carbon dioxide insufflation 44 cardiac monitor 16, 17 care pathways 1, 2, 4 7 Cavaterm system 54 cervical cytology abnormalities requiring referral 32 screening 28, 29 cervical intraepithelial neoplasia (CIN) 32, 33 4 chlamydia testing 85, 101 chlorpheniramine 24 clerical staff 97 clinical governance 9, 104 cocaine 22 codeine 20 collagen, periurethral injections 76 colporrhaphy 80 colposcopists 30, 34 colposcopy 1, accreditation and training 34 indications and referral guidelines 32 management protocols in this web service

2 index national targets practical techniques 33 4 service organisation 30 1 Commission for Health Audit and Improvement (CHAI) 4, 65 consultants 7 8 Contigen 76 corpus luteum, haemorrhagic 108, 109 corticosteroids 24 costs, endometrial ablation 60, 68 cystocele 80 cystometry 75 danazol 41 daycase surgery 1, 5 urinary incontinence/prolapse 76 9 see also endometrial ablation defibrillator 16, 17 detrusor overactivity 74, diary, urinary 72, 74 diclofenac 19 dihydrocodeine 20 dilatation and curettage 41, 45 6 discharge home 18 duloxetine 73 dysfunctional uterine bleeding (DUB) 36, 54, 62 3 dyspareunia, deep 107 early embryonic demise 100 early fetal demise early pregnancy loss psychological aspects 103 early pregnancy units (EPUs)/emergency gynaecology units (EGUs) 1, clinical indications 98 management protocols monitoring, audit and evaluation 104 national targets 95 6 organisation of service 96 7 Echovist 91 ectopic pregnancy electrocardiogram monitoring 15, 16 embolisation, fibroid emergency gynaecology pelvic ultrasound units see early pregnancy units/emergency gynaecology units EMLA cream 22 endometrial ablation 37, 41, complications and postoperative care costs 60, 68 randomised controlled trials 56 8, 59 second-generation methods 54 6 endometrial biopsy 37, 42, 43 endometrial cancer 41, 42, 44 endometrial hyperplasia 44 endometrial polyps 46, 48, endometrial sampling 45 6 endometriomas 88, 89, endometritis, postoperative 59 endometrium, ultrasound assessment 46 8 epidural anaesthesia 12 epinephrine (adrenaline) 21, 22, 24 estrogens 73 etamsylate 37 European Working Time Directive 7 fallopian tube catheterisation and tuboplasty evaluation of patency 85, 86, 87, 91 2 fasting, pre-procedure 23 felypressin 22 fertility see infertility Fertiloscopy see transvaginal hydrolaparoscopy fibroids, uterine 48 degeneration 110 embolisation transvaginal core biopsy flumazenil 23 frequency/volume chart, urinary 72 general anaesthesia 12 general practitioners (GPs) 2, 3, 8 9 see also primary care gestrinone 41 gonadotrophin-releasing hormone analogues 41 goserelin 57 8 guidelines 8 9 gynaecologists 2, 8 GyneLast 54 5 haematoma formation 21 haematuria 72, 73 Her Option cryoablation therapy 55 hormone replacement therapy (HRT) 41, 42 Hospital at Night project 7 human chorionic gonadotrophin, beta (ßhCG) 96, HyCoSy see hysterosalpingo contrast sonography hydrocortisone 24 hydrolaparoscopy, transvaginal see transvaginal hydrolaparoscopy hydropelviscopy in this web service

3 Ambulatory Gynaecology hydrosalpinx 108, 109 hydrosonography, saline 44, Hydro ThermAblator (HTA) system 54, 55, 58 results 58, 59 hysterectomy 41, 59, 67 8 hysterosalpingo contrast sonography (HyCoSy) 85, 86, 90, 91 2 hysterosalpingography 85, 86, 113 hysteroscopes 45 hysteroscopy 44 6 abnormal uterine bleeding 41, 42, 44 6, 50 endometrial sampling and 45 6 fibroids 48, infertility 92 prior to endometrial ablation 58, 63 training 51, 93 ibuprofen 19 infertility 1, defined 82 interpretation of investigations 93 investigation guidelines 83 method and protocols 84 5 organisation of service 83 practical techniques referral 83 4 training 93 interventional radiology intrauterine system, progestogen-releasing (Mirena ) 37, 41, 55, 56 junior doctors 7, 97 laparoscopy ectopic pregnancy 102 infertility 85, 86, 87 large loop excision of the transformation zone (LLETZ) 28, 33 4 laser ablation, cervical intraepithelial neoplasia 33 4 laser intrauterine thermal therapy, endometrial 54 5 lidocaine 21, 22 lifestyle advice 73, 84 local anaesthesia 12, 20 2 colposcopic treatment 33 complications 21 see also sedation, conscious local anaesthetics 20 2 lower urinary tract symptoms 71 2 Macroplastique 76 magnetic resonance imaging (MRI) 48, 115, 116, 117 MEA endometrial ablation system 54, 55, 57 8, 60 medical factors 13, 26 mefenamic acid 37, 38 menorrhagia 36 7 endometrial ablation techniques management Menostat endometrial ablation device 55, 59 menstrual bleeding, heavy (HMB) 37, 40 see also menorrhagia methaemoglobinaemia 21 methotrexate methylene blue 92 metoclopramide 111 midazolam 13 14, 18 19, 111 mifepristone 101 minimal access surgery 1, 8 Mirena (progestogen-releasing intrauterine system) 37, 41, 55, 56 miscarriage , 103 misoprostol 101 missed miscarriage mittelschmerz 109 Modernising Medical Careers (MMC) 7 monitoring MRI see magnetic resonance imaging multidisciplinary teams 2, 9 colposcopy 30 1 EPUs/EGUs 97 myomas, uterine see fibroids, uterine myomectomy naloxone 23 National Institute for Health and Clinical Excellence (NICE) 104 endometrial ablation devices 54, 56, 62, 68 fertility guidance 83, 86 heavy menstrual bleeding guidance 37, 40 stress incontinence guidance 78, 79 National Service Framework for Children, Young People and Maternity Services 95 National Strategy for Sexual Health and HIV 95 nausea and vomiting, postoperative 20 NHS, government reforms 7 The NHS Plan (2000) 4 7, 64 5, 95 NICE see National Institute for Health and Clinical Excellence 122 in this web service

4 index non-steroidal anti-inflammatory drugs (NSAIDs) 19 norethisterone 37 nursing staff abnormal uterine bleeding clinic 43 anaesthesia and analgesia 14 colposcopy clinic 30 1 EPUs/EGUs 97 fertility clinic 83 obesity 13 one-stop clinics 1, 2 abnormal uterine bleeding 43 infertility urogynaecology 70, 74 6 operating lists, savings 67 8 opioids ovarian cysts 88, 89 accidents ultrasound guided aspiration ovarian torsion ovarian tumours, estrogen-producing 44 overactive bladder 74, ovulation-related pain 109 oxygen administration 15, 16 pain after fibroid embolisation 115 see also analgesia; pelvic pain Pap test 28 paracetamol 19 patient safety 9 patient satisfaction surveys 9 10 pelvic adhesions 88, 90 pelvic floor exercises 73 pelvic inflammatory disease pelvic pain acute 104, chronic Performance Assessment Framework (PAF) indicators 4, 65 periurethral bulking injections 76, 77 phlebotomy service 83 Pipelle endometrial sampler 45 6 postmenopausal bleeding 41 2 organisation of service 43 postoperative nausea and vomiting 20 pregnancy after fibroid embolisation 114 early loss ectopic ovarian cyst aspiration 111 viable intrauterine 99 prilocaine 21, 22 primary care integration with 2, 3 menorrhagia management 37, 38 urogynaecological conditions 70 4 products of conception 101 progesterone, serum 103 progestogens 37, 38 prolapse, genital daycase surgery 80 secondary care management 74 5 protocols 8 9 psychological aspects, early pregnancy loss 103 pulse oximetry 15, 16 quality-assured service 30 questionnaire, pre-procedure 26 7 receptionists 83 recovery 18 rectal injury 92 rectocele 80 referrals, generic 8 regurgitation 23 resuscitation equipment 14, 15 16, 17 ropivacaine 22 Royal College of Obstetricians and Gynaecologists (RCOG) 2 3, 9 colposcopy guideline 28, early pregnancy loss guideline 101 fertility guideline 82 menorrhagia guideline 36 7 stress incontinence guideline 76 training provision 8, 34, 51 saline hydrosonography 44, salpingitis 107 salpingography, selective salpingoscopy 92 Scottish Intercollegiate Guidelines Network (SIGN) 42 sedation, conscious administration complications 22 4 defined 12 drugs used equipment 14, 15 interventional radiology 111 monitoring patient selection 13, 26 7 recovery and discharge 18 risk factor questionnaire 26 7 staffing see-and-treat management philosophy 1 silicone rubber, periurethral injections in this web service

5 Ambulatory Gynaecology social factors 13, 26 spinal anaesthesia 12 staffing starvation, pre-procedure 23 stress urinary incontinence 73, 76 9 telephone helpline 97 tension-free vaginal tape (TVT) 77 8 tetracaine 22 ThermaChoice system 54, 55, 56 7, 60 THL see transvaginal hydrolaparoscopy tibolone 41 time-sensitive consultant contract 7 topical anaesthesia 22 training 7, 8, 14 abnormal uterine bleeding 51 colposcopy 34 EPU/EGU staff 97 fertility clinic 93 tranexamic acid 37, 38 transformation zone, excision methods 33 transobturator tape (TOT) 78 9 transvaginal hydrolaparoscopy (THL) (Fertiloscopy ) 85, 86, 87, 92 complications 92 technique 92 training 93 vs hysterosalpingo contrast sonography 90, 91 transvaginal ultrasound scan (TVUS) 46 9, abnormal uterine bleeding 46 9 acute pelvic pain early pregnancy complications , 101, 102 emergency gynaecology 104 guided core biopsy guided ovarian cyst aspiration infertility 85, plus saline hydrosonography postmenopausal bleeding 42, 43 4 staffing required 97 training 8, 51 tubal disease 85 tubal patency, evaluation 85, 86, 87, 91 2 tuboovarian abscess 107 tuboplasty TVUS see transvaginal ultrasound scan ultrasound scanning 8, dysfunctional voiding 75 infertility provision in EPUs/EGUs 96, 97 training 8, 51 see also transvaginal ultrasound scan unscheduled bleeding 41 urgency 74 urge urinary incontinence 74 urinalysis 72 urinary diary 72, 74 urinary incontinence daycase surgery defined 70 primary care management 70 4 secondary care urine culture 72 urodynamic assessment 75 uroflowmetry 75 urogynaecology 1, uterine artery embolisation, fibroids uterine bleeding abnormal see abnormal uterine bleeding dysfunctional (DUB) 36, 54, 62 3 see also vaginal bleeding uterus, congenital abnormalities 88, 89 vaginal bleeding breakthrough 41 unscheduled 41 see also postmenopausal bleeding; uterine bleeding vaginal examination 72 vaginal wall prolapse, anterior 80 vasovagal episodes 23 Vesta endometrial ablation system 54, 55, 57, 60 waiting times 4 5, 66 websites, useful in this web service