sharp blunt

{
end Blunt at other or or
→ Ft be sharp at one

may
.

iniompeett abortion
at both ends hses Dtc
for
.
.

is used
DTE ( Blunt curettage .

dysfunctional
bleeding
DUB .
uterine
he endometrial
a A
uses
for
uterine
hypoplasia .

curette .

endometrial thickness
"

①
evaluation
Ivs
by response
mepioti
µ¥fµÉM
② hysteeoswpy .

⑦ as aan'm infusion '

sonography)

[Link]#Mtuystaoswpi v D2i - D23

wire
.

→ curettage
tistowgicaratnotioypipeete
.

of que
.

[Link]?yid
←
targeted biopsy .
 [Link]
taken without anaesthesia .

long end with

→
-

oval blades
with
sharp anting
edged
7ypesqbiopsy_
.

lone
he
wedge
punch
he
ring
 Use :

to
→ remove products
of corruption in Dadt
→
To remove
'
molar tissue in
hydatiaiform mole .

uterine
"

polyp
→ .

[Link] injury to uterine

:

tissue →
perforation
.
 holding
sponge
toot

oval
shaped
with
fenestration 0 . ←

f
.

by
uses antiseptic dressing
:

any
abdominal / vaginal .

operation .

② % vagina with gauze pieces

.

clean

③ to remove cervical polyp by

holding q twisting .

0 catch
-
.

←
 endometrial hyperplasia
.

✗ →
)
without
atypie
with atypia (endometrial intraepithelial neoplasia
.

c-
simple compas .

⑥ glands : stroma ratio will MI 'M -

win in
M
hyperplasia glands
.

relative to strong

→ patient presents with

excessive
Bleeding
Ioc : eve
→ postmenopausal
Lt
.

75mm
if thickness

Reproductive pebimenopausal a
age
d
Browne Biopsy
thickness 712mm irrespective done .

if ,
I
of thickness
biopsy .
 WE used in DIG DIE, ,
vaginal
① hysterectomy to retract the post vaginal
Wan .

-,

{
Blades ←

are
of
unequal
breadth
1-wider : multiparous women
.

narrow
the cervix &inspect the
d
② to visualize in Wall
multiparous abnormalities
ant
vqind
'

's cyst
, gartner
.

line :
cystocele
stain
③ 70 collect material toomvqino for :
gram
or couture
 [Link]
D9_E :

shaemanisuurtey
E. B- curette
.

aye

air /
utility
work-up:
infertility
DUB
endometrial hypoplasia
.

Mendo metritis
.
 To retract the
abdominal wall in
abdomen peak buying to

expose Field
the tied of operation
.
 of
cervical
evacuatipatency
on
.

Shirodkar damp
occlusion
tubal 9
'M
own
laparotomy
.

' '

✗
rubble tubes inserted
hue to avoid trauma
these
position of uterus .
Olive pointed malleable
graduated
metallic uterine found
nteeoabiiid
.

→
lengthcanal
of
.

dilator
→
acts as a
fast
→ so sound the uterine
cavity in case

Fun with
of FEUD missing threads
'

complication
perforation of haemorrhage .
 tiaoomw Ambler ③DasDilatDCf
single ended :
-

①
②
Double ended metallic cervical aviator -

③ To confirm cervical
I
potency of
canal

I
.

I
①
the side with
used To dilate the cx
to
facilitate Gmanvr dilator is used
FUD insertion , instant merits tone:

Curette
first .

death Mehra , heinabonetra

20 dilate to
pyo
:
→ •

② oh lochiometra .
Ned: spine bifida +
ane up
holy 195%3 .

Leif : encephala cut .

deficient development of vault

if shine

pg & brain tissue .

D: Mapp in amniotic
fluid
.

an
[Link]
vault .

v89 .

complications
:
①
hydrannimes
.

-20 maepresentation .

tahoe
③ pkteem
⑨ dystonia
Shoulder .

⑤ tendency of post maturity - .

⑥ Obstructed labor .

Tehmi nation
Mx
Pregnancy
:
of .
[Link]
To use as in
a
lamp

→
hysterectomy
Tohold
operation .

vascular
peacocks
before outing
.
 : low forceps, head is on the
perineum
outlet
forceps
.

contos up outlet
foeup for extraction of head .

&
head is heal short curved obstetrics forceps
the
pelvic floor
Shank

Jin
handle
d
. .

Pelvic
culver
 uses :

→ hemostasis and transverse serrations .

catch word
of margins to
missed dnhirf

q
not
They are

future .

-
attend
auis tissue flaps

Green Armitageforceps
hemostatic
 → Both ends all
flattened ,
.

fenestrated 9 serrated
transversely :

look
have a
good
.

wait to
Kes : To retract the ant .

vaginal
on cehvi ✗ .

→ used to examine cervix in case

of cystocele .
 →
multiple toothed vnlsettum .

→ used to Alvis
make
steady by traction .

→ remove
poyp by twisting
a
 kendo cervical brush .

L
goes in cervical land:
-
-
this end
"
-

spread Ayerspatula
-

collected is in the
maoeeial goes
bride edtos
the
.

and

d
fixative 191%
w
)
ethyl
alcohol ) -
rotated
I 360 to
with Papanicolaou
stained count cuts
prom
or SON 's method → viewed entire eetocesria .

- ' -

under

microscope
[Link]?Qpctive
.

Lt
suspicious ^

few malignant ads .

he plenty
.
a.
 visualise owing vaginae fannies
.

→ what conical smear for cytological screening

.

→ so what Arvin vaginal bwahs

foo gram stains'tf,

busies Bivalve
Retaining
SeyVaginal
speculum
not
→
Assistance
oegd
-

→ used
during
cdposuopif
 in
→ used draping the

operative area .

→ towel
Shin
/ sheets are

other
tired to
with
& to each

these
clips
i
→ To fix anyone after capsule is cut
open
give traction too big requiring hysterectomy
→
To in a uterus
→ To lift out a
big uterus for ease
of operation theoryn

abdominal inviting .
 Infertility work
up .

( chip of endometrium
the
is rtahen out tostudy
)
hormonal rgeeition
.

t
without
OPDprocedure
anaesthesia
 &

Mayte used to introAnne

fluid / gas ☒ treat

What
tubal
blockage
.

pressure
.