By John E. Turrentine
This resource is a wonderful creation for the clinical pupil, intern, resident, and personal practitioner attempting to study a brand new Ob/Gyn process. The sections on vital systems educate the way to practice the surgical procedure and the way it has to be transcribed for the scientific list. This revised, updated advisor may be crucial for Ob/Gyn surgeons for acting universal, unusual, and new surgeries.
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Extra info for Surgical Transcriptions and Pearls in Obstetrics and Gynecology, Second Edition
After a 3 mm dilator was passed, successively larger ones were used. After dilatation of (usually 9 mm) was reached, the dilatation was discontinued. Gauze was placed into the posterior vaginal fornix along with posterior weighted speculum retractor with a Telfa pad on top of the sponge so that blood and endometrium removed from the uterus would fall onto it. The uterine cavity was explored initially in search of any endometrial polyps with the polyp forceps. The forceps were moved systematically across the dome of the uterus and the anterior and posterior walls.
The surgeon’s hand is probably the most common method of lifting the head out of the uterus. However, the vacuum extractor is usually the author’s preference because of the seemingly smaller uterine incision that is necessary, thus decreasing blood loss. Some sources have suggested placing moist laparotomy cloths in the pericolic gutters prior to making the uterine incision to absorb amniotic fluid, blood, and meconium, in an attempt to decrease postoperative ileus. 25 06 Chapter 1434 24/3/06 11:07 am Page 27 Cerclage Important points/pearls ● Contraindications to most cerclages include: (1) (2) (3) (4) (5) (6) (7) ● ● ● ● ● uterine bleeding uterine contractions chorioamnionitis cervical dilatation Ͼ4 cm polychorioamnionitis known fetal anomaly ruptured membranes.
There was no adenopathy appreciated. e. a tumor in the vesicovaginal septum. The aortic nodes were negative for metastatic disease; therefore, it was felt advisable to proceed with anterior pelvic exenteration, which was accomplished as follows. A self-retaining retractor had been placed and the bowels had been packed away superiorly. The pelvic spaces were opened by first dividing the round ligaments bilaterally with an LDS CO2 power device. The peritoneum overlying the bladder was incised high to the anterior parietal peritoneum and then the peritoneum in this area was dissected down and freed off of the bladder surface so the peritoneum could be used for reconstruction of the pelvic floor later.
Surgical Transcriptions and Pearls in Obstetrics and Gynecology, Second Edition by John E. Turrentine