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Families are made up of many different sizes and types. There are parents and children, grandchildren, grandparents, sometimes great-grandparents, aunts, uncles, cousins, far-removed cousins, even pets. In my grandchildren’s case, there are stuffed lovies. Don’t even try to suggest to
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has been working with Dr. Miller for over 20 years as his first surgical assist. Mary received a BSN from Benedictine University, Lisle and her First Assistant Certificate from Prairie State College, Chicago Heights.
Dear Dr. Miller, Thank you for your tremendous skill in performing my (Laparoscopy, hysteroscopy - Multiple myomectomy - Lysis of Adhesions and placement of Uterine Stent) operation. Your talent and caring manner is a credit to the medical profession. You are truly a lifesaver.
Hysteroscopy is an outpatient procedure that is performed to evaluate and/or treat uterine cavity pathology. Depending on the indication for the surgery, hysteroscopy can be performed in the office with local anesthesia and pain medications or in the hospital with local, regional or general anesthesia.
A diagnostic hysteroscopy may be recommended to evaluate a previous abnormal imaging study or to rule out any disease, such as in an infertility work-up. If any irregular masses or lesions are observed, these can be biopsied and sent to pathology to evaluate the tissue.
Uterine fibroids within the cavity are classified as submucosal fibroids. A Type 0 submucosal fibroid grows completely within the uterine cavity. When the fibroid grows in the cavity as well as the uterine muscle but less than 50% of the fibroid is in the muscle, the fibroid is categorized as a Type 1 fibroid.
Uterine or endometrial polyps are usually benign overgrowths of the uterine cavity lining, also known as the endometirum. The most common symptom polyps cause is irregular vaginal bleeding. These can easily be removed with the hysteroscope.
Uterine septums are a congenital defect of the uterus that commonly can cause recurrent miscarriages. These defects can be cut safely through the hysteroscope and treated so that the uterine cavity retains a normal shape. A balloon catheter is placed into the uterine cavity for about 5 days after the septum is resected.
Scar tissue is a natural phenomenon of the healing process. Some women who have undergone an intrauterine procedure, such as a D&C (curettage of the uterine cavity), myomectomy, or miscarriage, may develop scar tissue formation within the cavity causing partial or complete obliteration of the cavity. This is referred to as Asherman’s Syndrome.
Women undergoing an infertility work-up may be found to have their fallopian tube (s) occluded. While utilizing hysteroscopy, the opening to the fallopian tubes (tubal ostia) may be visualized within the uterine cavity. A small catheter can be placed through the tubal ostia into the fallopian tube to establish tubal patency.