Operation: 1. Cervical dilation 2. Diagnostic curettage Indications: Postmenopausal woman with inability to obtain endometrial biopsy in the office. The patient now presents for cervical dilation and diagnostic endometrial curetting. Summary of the procedure: General endotracheal anesthesia was administered. The patient was placed in dorsal lithotomy position with Allen stirrups. No antibiotics were required for this procedure. Exam under anesthesia was performed and was normal. The patient was then prepped and draped in standard surgical fashion. A small non-weighted speculum was placed in the posterior fornix of vagina. The cervix was grasped with single tooth tenaculum and gentle traction was placed. A small cervical dilator was then used to serially dilate the cervix until Hanks dilators could be used to fully dilate the cervix to a #20 size Hanks dilator. At this point a sharp endometrial curettage was then performed with a small sharp curet. The endometrial curettings were totally evacuated and passed off the field for analysis. The patient tolerated the procedure and anesthesia well. All instruments were removed. A single-tooth tenaculum was removed from the cervix and hemostasis was found to be excellent prior to the patient leaving the operating room.04V03DZ – Restriction of Left Internal Iliac Artery with Intraluminal Device, Percutaneous Approach. ICD-10-CM code(s): ICD-10-PCS code(s):
[Expert Solution]: Operation: 1
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