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Gynaecology Updates (October 2020)

Gynaecology Updates (October 2020)

Release notes on the latest gynaecology module update

N
Written by Nina Obermair
Updated over 2 months ago

Pre-existing co-morbidities

Added: anxiety/depression

Suction Curette

Added indications:

  • Termination of pregnancy

  • Failed early pregnancy

Vulval Surgery

Added treatment: Fenton's Plasty

Surgical Approach

  • Added: Natural Orifice Transluminal Endoscopic Surgery

(applicable to: cervical cancer, uterine cancer, general surgery, gynaecology - ectopic, hysterectomy, resection of endometriosis, pelvic floor repair, salpingo-oophorectomy, myomectomy).

  • Added: Combined abdominal and vaginal

(applicable to gynaecology - ectopic, hysterectomy, pelvic floor repair, resection of endometriosis, salpingo-oophorectomy, myomectomy)

Pelvic Floor Repair

Surgical technique

Added:

  • botox to pelvic floor

  • botox injection

  • sacral neuromodulation

Renamed: uterosacral plication > uterosacral vault plication/suspension

Specific outcomes

  • Added: de-novo urge incontinence

  • Rename: leg/buttock or vaginal pain > leg/buttock/vaginal/groin pain

Indication/outcome

When indication is:

  • stress urinary incontinence

  • urge urinary incontinence or

  • stress and urge urinary incontinence

an "outcome" field appears with the options:

  • cured or improved

  • no change

  • worsening

Ectopic Pregnancy

HCG value maximum value increased to 999999 (6 digits)

Minor gynaecological procedures

Added: (includes primary surgical approach, estimated blood loss, and length of stay)

  • mirena insertion

  • egg pickup

  • testicular biopsy

  • insemination

  • adhesiolysis (isolated procedure)

  • tubal reanastomosis

  • laparoscopic oopexie or oolysis

  • LUNA procedure

  • repair of caesarean section diverticulum

  • salpingectomy

  • tubal ligation

  • cystoscopy

  • bartholin's cyst (drainage/excision)

  • botox injection pelvic floor

Cystoscopy

Added: yes/no option at end of step to for procedures -

  • diagnostic laparoscopy

  • hysterectomy

  • diagnostic hysteroscopy

  • hysteroscopic resection fibroid/polyp

  • suction curette

  • endometrial ablation

  • pelvic floor repair

  • resection of endometriosis

  • salpingo-oophorectomy/ovarian cystectomy

  • myomectomy (laparoscopic/open)

Visceral injury location - applies to all modules

Added: when general outcome is visceral injury options -

  • bladder

  • ureter

  • small bowel

  • large bowel/rectum

  • nerve

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