PubMed · 9326013
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T Smith. 1997-07-30. Colposcopy.. https://doi.org/10.7748/ns.11.45.49.s46
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Clearly communicating with other professionals and with sexual assault survivors about the boundaries and imitations of the SANE medical-forensic examination is important. Although SANEs work cooperatively in an interdisciplinary sexual assault response team model to better meet the needs of sexual assault victims, they function as independent professional nurses in their role of collecting medical forensic evidence. Properly defined to focus on assessment, identification, and documentation of trauma, the SANE role is an independent professional role but is still within the scope of basic nursing practice. The answer to our question, "Is the SANE role advanced practice nursing or is it within the scope of basic nursing practice?" is thus "The SANE role is clearly within the scope of basic nursing practice."
The outcome of referral to colposcopy of 240 women who had persistently inadequate smears was investigated. Of 232 women who attended colposcopy, 214 (92.2%) had a normal outcome, 12 (5.2%) had low grade abnormalities, and six (2.6%) had high grade abnormalities. This group of women therefore has a negligibly increased risk of harbouring cervical neoplasia. Although not directly comparable, women with a history of previous abnormal cytology did not have a higher risk than those without such a history. Unnecessary colposcopy could have been avoided in the majority of cases if a good quality repeat smear had been taken. Improved smear taker training could decrease the number of referrals. A hospital cytology clinic is proposed as a cost-effective alternative to colposcopy at the first attendance.
The initial experience in 25 patients of using the Koh Colpotomiser System in conjunction with the RUMI Manipulator, a new modified technique for performing total laparoscopic hysterectomy, is presented. Of 25 operations, 23 (92%) were completed successfully. Complications were limited to minor pre-operative haemorrhage in two patients and post-operative bleeding in another. The Koh Colpotomiser System successfully maintained a pneumoperitoneum following colpotomy, giving the operator improved visibility and access to the pelvic organs. This resulted in greater efficiency, while eliminating the difficulties of vaginal access.