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Endometrial Ablation Operative Report
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Family/Referring Doctor Name
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Urine Pregnancy Test
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Toradol Injection
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Betadine Allergy
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Placed in the dorsal lithotomy position
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Para cervical block - local anesthetic given
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Uterus sounded to ___ cm
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The cervix sounded to ____ cm
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giving a cavity length of __ cm
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The cervix was dilated to ___
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Novasure device seated to cavity width of
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The Ablation took ___ seconds
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Hysteroscopy showed a well ablated cavity. Patient tolerated the procedure well
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Cavity length
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Cavity width
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Watt’s
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Seconds of Ablation
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Additional Notes
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