2025-2026
Preoperative and postoperative diagnosis: Heavy menstrual bleeding
Procedure: Thermal endometrial ablation
This 53-year-old female patient was brought to the operating room and was prepped and draped for
surgery. The patient has been experiencing extensive menstrual bleeding and has elected to undergo an
ablation at this time. The patient was placed in the dorsal lithotomy position under general anesthesia. A
resectoscope was inserted, and an endometrial ablation was completed, removing tissue and
coagulating the area via a fulguration current. Hemostasis was obtained with minimal blood loss. The
patient was found to be in satisfactory condition and was sent to the recovery room. - Answers58563
Preoperative diagnosis: Cervical lesion
Postoperative diagnosis: Squamous intraepithelial lesion of the cervix
Indications for procedure: This is a 27-year-old female who presented for her annual Pap and pelvic
examination. The results of the Pap smear identified an abnormality. The follow-up Pap confirmed the
abnormality, and an ultrasound was performed, after which surgery was scheduled to get a definitive
diagnosis.
Procedure: The patient was placed in the supine position and administered general anesthesia. She was
placed in cane stirrups and then prepped and draped in the usual fashion, although her vaginal vault was
not prepped in any way. A coated speculum was inserted, and the cervix was exposed. It was painted
with Lugol, and the entire active cervix was nonstaining with the clearly defined margins where the stain
began to pick up. Approximately 6 cc of Lidocaine with 1% epinephrine was then injected into th -
Answers57522
Preoperative diagnosis: Vaginal stricture
Postoperative diagnosis: Vaginal stricture
Procedure: Repair of introitus
The patient was brought to the operating room and prepped and draped in the usual fashion. General
anesthesia was given, and the surgical site was cleansed. Three V-shaped incisions were made in the
area of the vaginal stricture. Because of the amount of scar tissue present, the tissue was excised. To
obtain hemostasis, the mucosa was sewn with sutures, thus repairing the area. The patient tolerated the
procedure with minimal blood loss. - Answers56800
Preoperative diagnosis: Polymenorrhea
Postoperative diagnosis: Benign endometrial polyp
Anesthesia: General