Guest guest Posted December 12, 2002 Report Share Posted December 12, 2002 F, Received the video today. Thanks. Will await your email on what bits to put on the internet. Poly Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 12, 2002 Report Share Posted December 12, 2002 Dear Poly, My translation of the surgery report will probably help you make sense of the video: Helsinki City Maternity Hospital, Surgery Department 7, 29.11.2002 Procedure: LCB98 Hysteroscopia, resectio adhesiones cervicis et intrauterina. Performed by Timo Laatikainen, senior surgeon - -Maija Tapper, head of the clinic of gynaecology - nurse Miettinen - nurse Yli- Ollila. When entering the cervical channel, the dilators stop at only 1 cm. The hysteroscope shows a thick white adhesion across the cervical channel. This is removed using the versapoint until the cervical channel is open. At this stage the sound measurement is about 5 cm. The cavity is filled with thick white adhesions. These are removed using versapoint until the left tube is seen. At the beginning of this procedure, some dark fluid and blood flows out of the cavity (cd 10). Adhesions are removed all the way up to the tubes, but the right tube is still not visible. Finally the cavity looks fairly symmetric, but cylindrical. On the right side and also in the left corner some intact endometrium is seen. The ultrasound shows that some saline solution has flushed through the tubes and into the abdominal cavity. Plan: The patient is given a prescription for Divina (estradiolvalerat 2 mg 1 x 1 x 11 days, estradiolvalerat 2 mg + medroxyprogesteronacetat 10 mg 1 x 1 x 10 days, 7 days pause). The patient will contact the clinic for a follow-up appointment with Dr. Laatikainen after three months. On her request, the patient is given a videotape of the procedure. She will also contact docent Aila Tiitinen for advice on further hormone treatment. Dg: N85.8 Syndroma Asherman. Timo Laatikainen, senior surgeon. I tried to find a few important elements on the video: - adhesions (no trouble, since they were all over) - using the versapoint laser - tube opening (not sure about this one, can you identify it, maybe?) - open cavity at the end of the procedure - healthy endometrium (pink and smooth) The versapoint vaporises the adhesions, that's why there are lots of gas bubbles in some pictures. When the report says right or left I get the impression they are referring to MY right and left, which means the intact endometrium on the right side is actually in the left part of the picture. These are my suggestions, minutes and seconds starting from beginning of tape: 01:55-02:30 thick white adhesion being vaporised using versapoint laser 03:45–04:05 same 11:50–12:30 adhesion vaporised using versapoint laser + endometrium on the left 23:00–23:10 open cavity starting to emerge after cutting lots of adhesions 26:00–26:15 open cavity, pink endometrium in the upper left part 27:25–27:35 exit from open cavity, end result showing lots of scarring on the walls but all adhesions removed except in front of one tube. These are just suggestions, please feel free to use any clips you want to. Ask if there is anything you need clarified. I'm afraid I don't have all the answers, though, because I didn't watch the video with the doctors afterwards. It was very interesting (but depressing) for me to see this on video, so I think it could be interesting for others also, to get a live picture of what this much talked about scar tissue looks like, for instance. Good luck with the editing! F Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 12, 2002 Report Share Posted December 12, 2002 Dear Poly, My translation of the surgery report will probably help you make sense of the video: Helsinki City Maternity Hospital, Surgery Department 7, 29.11.2002 Procedure: LCB98 Hysteroscopia, resectio adhesiones cervicis et intrauterina. Performed by Timo Laatikainen, senior surgeon - -Maija Tapper, head of the clinic of gynaecology - nurse Miettinen - nurse Yli- Ollila. When entering the cervical channel, the dilators stop at only 1 cm. The hysteroscope shows a thick white adhesion across the cervical channel. This is removed using the versapoint until the cervical channel is open. At this stage the sound measurement is about 5 cm. The cavity is filled with thick white adhesions. These are removed using versapoint until the left tube is seen. At the beginning of this procedure, some dark fluid and blood flows out of the cavity (cd 10). Adhesions are removed all the way up to the tubes, but the right tube is still not visible. Finally the cavity looks fairly symmetric, but cylindrical. On the right side and also in the left corner some intact endometrium is seen. The ultrasound shows that some saline solution has flushed through the tubes and into the abdominal cavity. Plan: The patient is given a prescription for Divina (estradiolvalerat 2 mg 1 x 1 x 11 days, estradiolvalerat 2 mg + medroxyprogesteronacetat 10 mg 1 x 1 x 10 days, 7 days pause). The patient will contact the clinic for a follow-up appointment with Dr. Laatikainen after three months. On her request, the patient is given a videotape of the procedure. She will also contact docent Aila Tiitinen for advice on further hormone treatment. Dg: N85.8 Syndroma Asherman. Timo Laatikainen, senior surgeon. I tried to find a few important elements on the video: - adhesions (no trouble, since they were all over) - using the versapoint laser - tube opening (not sure about this one, can you identify it, maybe?) - open cavity at the end of the procedure - healthy endometrium (pink and smooth) The versapoint vaporises the adhesions, that's why there are lots of gas bubbles in some pictures. When the report says right or left I get the impression they are referring to MY right and left, which means the intact endometrium on the right side is actually in the left part of the picture. These are my suggestions, minutes and seconds starting from beginning of tape: 01:55-02:30 thick white adhesion being vaporised using versapoint laser 03:45–04:05 same 11:50–12:30 adhesion vaporised using versapoint laser + endometrium on the left 23:00–23:10 open cavity starting to emerge after cutting lots of adhesions 26:00–26:15 open cavity, pink endometrium in the upper left part 27:25–27:35 exit from open cavity, end result showing lots of scarring on the walls but all adhesions removed except in front of one tube. These are just suggestions, please feel free to use any clips you want to. Ask if there is anything you need clarified. I'm afraid I don't have all the answers, though, because I didn't watch the video with the doctors afterwards. It was very interesting (but depressing) for me to see this on video, so I think it could be interesting for others also, to get a live picture of what this much talked about scar tissue looks like, for instance. Good luck with the editing! F Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 12, 2002 Report Share Posted December 12, 2002 Dear Poly, My translation of the surgery report will probably help you make sense of the video: Helsinki City Maternity Hospital, Surgery Department 7, 29.11.2002 Procedure: LCB98 Hysteroscopia, resectio adhesiones cervicis et intrauterina. Performed by Timo Laatikainen, senior surgeon - -Maija Tapper, head of the clinic of gynaecology - nurse Miettinen - nurse Yli- Ollila. When entering the cervical channel, the dilators stop at only 1 cm. The hysteroscope shows a thick white adhesion across the cervical channel. This is removed using the versapoint until the cervical channel is open. At this stage the sound measurement is about 5 cm. The cavity is filled with thick white adhesions. These are removed using versapoint until the left tube is seen. At the beginning of this procedure, some dark fluid and blood flows out of the cavity (cd 10). Adhesions are removed all the way up to the tubes, but the right tube is still not visible. Finally the cavity looks fairly symmetric, but cylindrical. On the right side and also in the left corner some intact endometrium is seen. The ultrasound shows that some saline solution has flushed through the tubes and into the abdominal cavity. Plan: The patient is given a prescription for Divina (estradiolvalerat 2 mg 1 x 1 x 11 days, estradiolvalerat 2 mg + medroxyprogesteronacetat 10 mg 1 x 1 x 10 days, 7 days pause). The patient will contact the clinic for a follow-up appointment with Dr. Laatikainen after three months. On her request, the patient is given a videotape of the procedure. She will also contact docent Aila Tiitinen for advice on further hormone treatment. Dg: N85.8 Syndroma Asherman. Timo Laatikainen, senior surgeon. I tried to find a few important elements on the video: - adhesions (no trouble, since they were all over) - using the versapoint laser - tube opening (not sure about this one, can you identify it, maybe?) - open cavity at the end of the procedure - healthy endometrium (pink and smooth) The versapoint vaporises the adhesions, that's why there are lots of gas bubbles in some pictures. When the report says right or left I get the impression they are referring to MY right and left, which means the intact endometrium on the right side is actually in the left part of the picture. These are my suggestions, minutes and seconds starting from beginning of tape: 01:55-02:30 thick white adhesion being vaporised using versapoint laser 03:45–04:05 same 11:50–12:30 adhesion vaporised using versapoint laser + endometrium on the left 23:00–23:10 open cavity starting to emerge after cutting lots of adhesions 26:00–26:15 open cavity, pink endometrium in the upper left part 27:25–27:35 exit from open cavity, end result showing lots of scarring on the walls but all adhesions removed except in front of one tube. These are just suggestions, please feel free to use any clips you want to. Ask if there is anything you need clarified. I'm afraid I don't have all the answers, though, because I didn't watch the video with the doctors afterwards. It was very interesting (but depressing) for me to see this on video, so I think it could be interesting for others also, to get a live picture of what this much talked about scar tissue looks like, for instance. Good luck with the editing! F Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 13, 2002 Report Share Posted December 13, 2002 F, I read your e-mail with great interest as I too have a video of my hysteroscopy. I was very interested about the walls looking pink and smooth where there was healthy endometrium - should the uterus look completely pink along the walls? I ask this because my gynae was very pleased with his work but, although the cavity had been beautifully opened up, I certainly didn't have pink walls - only a mixture of white and pink. I am currently quite worried as I have been told all is fine and I should ttc even though my periods are still light and I know from a recent scan there is some scarring along the walls, even though I thought this was minimal. I would be really happy if you could tell me whether the uterine walls should be pink all over - not mainly white with patches of pink. Thanks so much, a Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 13, 2002 Report Share Posted December 13, 2002 F, I read your e-mail with great interest as I too have a video of my hysteroscopy. I was very interested about the walls looking pink and smooth where there was healthy endometrium - should the uterus look completely pink along the walls? I ask this because my gynae was very pleased with his work but, although the cavity had been beautifully opened up, I certainly didn't have pink walls - only a mixture of white and pink. I am currently quite worried as I have been told all is fine and I should ttc even though my periods are still light and I know from a recent scan there is some scarring along the walls, even though I thought this was minimal. I would be really happy if you could tell me whether the uterine walls should be pink all over - not mainly white with patches of pink. Thanks so much, a Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 13, 2002 Report Share Posted December 13, 2002 Dear Ivana, thank you for giving me hope, I really appreciate that and need it badly because I was afraid Dr Gallinat will tell me there is nothing he can do for me. Of course he hasn't said anything yet, because he will get the video next week (I'm sending it with Nina who is going there for surgery). F Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 13, 2002 Report Share Posted December 13, 2002 Dear Ivana, thank you for giving me hope, I really appreciate that and need it badly because I was afraid Dr Gallinat will tell me there is nothing he can do for me. Of course he hasn't said anything yet, because he will get the video next week (I'm sending it with Nina who is going there for surgery). F Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 13, 2002 Report Share Posted December 13, 2002 Dear Ivana, thank you for giving me hope, I really appreciate that and need it badly because I was afraid Dr Gallinat will tell me there is nothing he can do for me. Of course he hasn't said anything yet, because he will get the video next week (I'm sending it with Nina who is going there for surgery). F Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 13, 2002 Report Share Posted December 13, 2002 F, Thanks for your email. I have kept a copy for when my nephew comes over in about a weeks time. I will ask any questions after we have viewed it together. I didn't get a chance to see all of it but did see a little and I think it will be good to get this available on the internet for educational purposes. Thanks again. Poly Quote Link to comment Share on other sites More sharing options...
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