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Modern Alternatives to Invasive Procedures

Keeping it Simple – Modern Alternatives to Invasive Procedures was the focus of an informative training session for Tahareinu’s advisors this week.  The guest lecturer was Dr Ronit Gilad, head of the Office Hysteroscopy department in Hadassah Har Hatzofim.  The only such unit among the main hospitals in Yerushalayim,  Hadassah has recently expanded this department, implementing advanced technology to treat numerous gynecological conditions.


Dr Gilad explained the innovative procedures offered in her department and the conditions they can diagnose and treat.  An office hysteroscopy or ‘see and treat’ has become the Gold Standard technique, replacing difficult surgery in many cases.  The hysteroscope allows the doctor to find growths and remnants which are too small for any ultrasound to pick up on.  It also allows the doctor a clear view while performing a procedure, enabling precision and accuracy.


Outpatient surgery is far less expensive than operations performed in theatre.  Whereas operations have to be booked well in advance and require at least a day from admission until discharge from the hospital,  an office hysteroscopy is far less time consuming.  The recovery from these procedures is minimal, with patients resuming normal activities after merely an hour.


Mrs Chaya Melber presented an award to Dr Gilad on behalf of Tahareinu for working with the organization to help many women over the last four years.  Rabbi Melber thanked Dr Gilad, not only for her expertise, but for being so sensitive to the needs of frum women.  With her understanding of the fact that time is often of essence for the sake of Tahara, she has made herself available to see women at short notice.


Together Tahareinu and Dr Gilad have helped many women facing complicated Tahara challenges with the use of ‘see and treat’ hysteroscopy.  Whether for removing placental remnants in post-partum mothers, small uterine polyps or treating post-caesarean niches, the hysteroscopy can find things that no type of ultrasound will detect.  These situations present serious tahara challenges, but the use of hysteroscopy is fast and effective in tackling them.


Dr Gilad described how this simple procedure can be a lifesaver in detecting uterine tumours in their early stages.  She also warned that in some cases hysteroscopy is not recommended due to the pain it would cause or other limitations.


Research is underway in Dr Gilad’s department implementing hysteroscopy tools to assess the causes of recurrent pregnancy loss.  They are investigating whether performing a hysteroscopy before a D&C can help determine the cause of the miscarriage.  This would help in working out how to prevent future miscarriages.


The second part of the session consisted of training in call protocol, logging and use of our updated computer system.  These advancements will allow for more follow-up, case management and supervision.  We are constantly working to ensure that our callers have a positive experience and put down the phone satisfied with the service they have received.