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Dr. Jerri Neilsen had a problem. She needed to do a procedure that she had never performed on anyone. There were no specialists available to do it. The nearest specialist was a continent away. What did she do? According to her first-hand account in Ice Bound: A Doctor’s Incredible Battle for Survival at the South Pole, she received instructions by computer and by satellite telephone on how to do a...
Loop Electrosurgical Excision Procedure (LEEP) uses alternating electrical current to remove abnormal cervical tissue, which provides a specimen for pathological review. Historically, physicians have used high frequency current for lesion removal as early as the 1940s. The introduction of the large loop with an insulated cross bar in 1989 by Prendeville revolutionized the treatment of cervical dysplasia...
Hysterosalpingography (HSG) is a dye-based radiologic evaluation of the uterus and fallopian tubes. It is used primarily for the workup of infertility as well as for the evaluation of tubal patency post Essure® (Conceptus, Mountain View, CA) procedures. Other indications include the evaluation of women with a history of recurrent spontaneous abortions, postoperative evaluations for women who have...
Cervical polyps are pedunculated masses that vary in size from several millimeters to centimeters, are usually found in the endocervical canal, and protrude from the cervical os (Fig. 9-1). Occasionally, polyps protruding from the cervical os are endometrial in origin. Cervical polyps are often single, but they can be multiple. They are usually bright red, spongy in nature, and friable.
There are many reasons for primary care providers to offer women’s health procedures in an office setting, from the value patients place on continuity of care to the lack of access to specialty care that patients may experience in rural areas. Primary Care Procedures in Women’s Health has been designed to introduce simple office procedures to clinicians, as well as office staff who must familiarize...
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