Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

OBGYN > 10: LAPAROSCOPIC COMPLICATIONS > Flashcards

10: LAPAROSCOPIC COMPLICATIONS Flashcards

1
Q

Management of ureteral ligation injury

A

Remove suture
Assess viability
Place stent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Management of ureteral angulation injury

A

Remove suture
Assess viability
Place stent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Management of upper 1/3 ureteral transection injury

A

Ureteroureterostomy over stent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Management of lower 1/3 ureteral transection injury

A

Ureteroneocystostomy with psoas hitch over stent
This ensures tension-free repair
In general - if injury is within 6cm of ureterovesicle junction, a ureteroneocystotomy should be performed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Management of upper 1/3 ureteral resection injury

A

Ureteroureterostomy over stent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Management of lower 1/3 ureteral resection injury

A

Ureteroneocystostomy with psoas hitch over stent
This ensures tension-free repair
In general - if injury is within 6cm of ureterovesicle junction, a ureteroneocystotomy should be performed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Management of upper 1/3 ureteral crush injury

A

Resection and ureteroureterostomy over stent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Management of lower 1/3 ureteral crush injury

A

Resection and ureteroneocystostomy with psoas hitch over stent
This ensures tension-free repair
In general - if injury is within 6cm of ureterovesicle junction, a ureteroneocystotomy should be performed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Management of upper 1/3 ureteral ischemia injury

A

Resection and ureteroureterostomy over stent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Management of lower 1/3 ureteral ischemia injury

A

Resection and ureteroneocystostomy with psoas hitch over stent
This ensures tension-free repair
In general - if injury is within 6cm of ureterovesicle junction, a ureteroneocystotomy should be performed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Universal cystoscopy has increased intraoperative identification of ureteral injury from ___% to ___%

A

38% to 53%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

___% of ureteral injury is delayed, which increases morbidity

A

62%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Post-operative ureteral injury symptoms

A

Unilateral cramping
Flank pain
Ascites
Retroperitoneal fluid collection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Post-operative ureteral injury signs

A

Creatinine elevation (0.8mg/dL if unilateral)
Fever of unknown origin
Ascites
Retroperitoneal fluid collection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Incidence of major vascular injury with LSC

A

1/10,000

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

___% of major vascular injury with LSC that occurs at time of initial entry, ___% are not identified

A

> 50%
~25%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

If major vascular injury on LSC occurs, mortality rate is ___% with delayed diagnosis

A

33%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Management of expanding retroperitoneal hematoma

A

Communicate
Direct pressure
Emergent vascular surgery consult
MLV laparotomy
AVOID CLAMPS/ELECTROSURGERY, OR OPENING RETROPERITONEUM (may increase size of vessel injury and lead to increased blood loss)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Management of non-expanding retroperitoneal hematoma

A

Observe (pressure from pneumoperitoneum may tamponade hematoma, therefore pressure should be decreased and re-evaluate)
Inspect rest of anatomy for other sites of injury
Communicate
Proceed with surgery as planned if hemostatic and non-expanding
Re-evaluate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Incidence of secondary port injuries

A

Up to 2%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Management of injury to inferior epigastrics

A

Foley catheter through trochar and pull back for tamponade
Electrosurgery
Suture ligation (can use fascial closure device)
CONVERSION TO LAPAROTOMY SHOULD NOT BE FIRST STEP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Incidence of GI injury during LSC

A

0.03-0.18%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

When do 50% of GI injuries occur during LSC

A

At time of LSC entry

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Most common part of GI system injured in LSC

A

Small bowel

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Intraoperative recognition of bowel injury

A

Immediately examine prior to putting patient in Trendelenberg
Can tag area of concern with interrupted suture if needed
If injury noted, consider other abx for anaerobic bacteria
Run rest of bowel to ensure no other injuries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Small bowel injury management <2mm

A

Expectant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Small bowel injury management >/=2mm

A

Primary repair - perpendicular to the long axis of the bowel to avoid stricture/narrowing of lumen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

American Association for the Surgery of Trauma (AAST) Grade 1 and management

A

Contusion or hematoma without devascularization, partial-thickness laceration
Primary repair in one or two layers; Transverse closure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

American Association for the Surgery of Trauma (AAST) Grade 2 and management

A

Small laceration (<50% circumference)
Primary repair in one or two layers; Transverse closure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

American Association for the Surgery of Trauma (AAST) Grade 3 and management

A

Large laceration (>/=50% of circumference)
Primary repair in one or two layers; Transverse closure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

American Association for the Surgery of Trauma (AAST) Grade 4 and management

A

Transection
Resection and reanastamosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

American Association for the Surgery of Trauma (AAST) Grade 5 and management

A

Transection with tissue loss; Devascularized segment
Resection and reanastamosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

How to assess for small bowel injury

A

Run bowel from ileocecal junction (where appendix should be) to ligament of Treitz (duodenojejunal flexure)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Most common site of large bowel injury

A

Rectosigmoid colon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Describe air bubble test

A

To assess for large bowel injury
Inject air in rectum with sigmoid colon occluded proximally
Fill pelvis with fluid
Air in fluid will show site of injury for repair

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Methylene blue enema for large bowel injury

A

Inject methylene blue in rectum with sigmoid colon occluded proximally
Dye will spill if injury, can identify site of injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Rigid sigmoidoscopy for large bowel injury

A

Sigmoidoscope and obturator placed in rectum > remove obturator > insufflate air > when bowel lumen is seen, advance scope under direct visualization and inspect bowel
Remove air, then retract sigmoidoscope

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Risk of perforation with rigid sigmoidoscopy

A

<0.1%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Floor of trigone

A

Detrussor muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Superior aspect of trigone

A

Ureteral orifices

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Incidence of urinary tract injuries in GYN surgery

A

0.33%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

Which approach is associated with highest rate of ureteral injury in GYN surgery

A

LSC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

Incidence of bladder injury in GYN surgery

A

0.8%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

Incidence of bladder injury in GYN surgery

A

0.3%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

Location of most injuries in bladder

A

Posterior wall (location where bladder flap is created)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

Recommendation if injury is close to ureteral orifices?

A

Consider placement of stents to minimize kinking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

Recommendation if electrosurgery injury to bladder

A

Should excise edges to ensure well-vascularized edges present

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

Management if injury to bladder dome <1cm

A

Can do expectant management
Maintain indwelling catheter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

Management if injury to bladder dome >1cm

A

Repair in two layers
Second layer incorporates muscularis, serosa, and parietal peritoneum layer
Maintain indwelling catheter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

Presentation of unrecognized bladder injury

A

Vaginal drainage
Ileus
Oliguria
Ascites
Pain
Long-term: Fistula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

General initial management of asystole/bradycardia in LSC

A

Stop insufflation
Deflate peritoneal cavity
Stop all meds contributing to myocardial depression
Administer 100% O2
Administer anti-cholinergic
Assess for cause
After r/o gas embolism, take patient out of Trendelenberg
Chest compressions if indicated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

Incidence of gas embolism

A

0.0014%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

Mortality of gas embolism

A

28.5%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

Mechanism of gas embolism LSC

A

Veress inserted into vein or parenchymal organ

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

Signs of gas embolism

A

Decreased end-tidal CO2 > Hypotension > Cyanosis > Increased JVP > High arterial CO2 > Millwheel murmur

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

Management of gas embolism LSC

A

D/c insufflation
Stop all meds that cause myocardial depression
Hyperventilate with 100% O2
Maintain trendelenberg to maximize blood flow to brain and assist in central line placement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
56
Q

Incidence of SubQ/Pre-Peritoneal Emphysema

A

0.3-2.34%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
57
Q

Up to ___% of LSC patients have grossly undetectable subQ emphysema on post-op imaging

A

77%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
58
Q

Mechanism of SubQ/Pre-Peritoneal Emphysema

A

Pre-peritoneal insufflation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
59
Q

SubQ/Pre-Peritoneal Emphysema associated with ___ surgical duration and ___ intraabdominal pressures

A

> 3hr surgeries
15mmHg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
60
Q

Signs of SubQ/Pre-Peritoneal Emphysema

A

Skin crepitus
Hypercarbia (increased end-tidal CO2)
Cardiac arrhythmias
HTN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
61
Q

Management of SubQ/Pre-Peritoneal Emphysema

A

Usually expectant
Increasing O2 administration and ventilation rates can assist with evacuation of CO2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
62
Q

Incidence of pneumomediastinum/ pneumothorax

A

0.03% in LSC, though seen on CXR in up to 20% of patients

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
63
Q

Mechanism of pneumomediastinum/ pneumothorax

A

Diaphragm defect (congenital or iatrogenic)
Ascending pre-peritoneal gas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
64
Q

Signs of pneumomediastinum

A

Emphysema in neck, face, or chest

65
Q

Signs of tension pneumothorax

A

Cyanosis, engorged neck veins, increased airway pressure

66
Q

Management of pneumomediastinum/ pneumothorax

A

Remain intubated until emphysema reduces
Pneumothorax - 100% O2, thoracostomy tube

67
Q

Incidence of hypoxia/hypercapnia

A

0.002-0.003%

68
Q

Mechanism of hypoxia/hypercapnia

A

Aspiration
CO2 absorption

69
Q

Signs of hypoxia/hypercapnia

A

Hypoxia
High airway pressures
Bronchospasm
Gastric contents found in esophagus

70
Q

Management of hypoxia/hypercapnia

A

Increase O2 concentration
Bronchodilators
PEEP
Decreased intraabdominal pressure

71
Q

Incidence of vagal reaction

A

27%

72
Q

Incidence of cardiac arrest

A

0.002-0.003%

73
Q

Mechanism of vagal reaction

A

Distention of peritoneum or viscera causing vagal nerve irritation

74
Q

Signs of vagal reaction

A

Bradycardia
Asystole
Hypotension

75
Q

Management of vagal reaction

A

Deflate abdomen
Anti-cholinergic agent

76
Q

Mechanism of diminished cardiac preload

A

Significant compression of vena cava (ex: gravid uterus, large uterus or adnexal mass, intraperitoneal pressure >40mmHg)

77
Q

Signs of diminished cardiac preload

A

Bradycardia
Asystole
Hypotension

78
Q

Management of diminished cardiac preload

A

L lateral tilt if uterus
Intraperitoneal pressure <15mmHg

79
Q

Patient mortality rates if major vascular injury with LSC

A

9-17%

80
Q

Definition of massive transfusion protocol

A

Administration of at least 10U pRBC within 24hr

81
Q

Recommended ratio for massive transfusion protocol

A

1:1:1 pRBC/FFP/plt to prevent hemodilution and restore normal coag function

82
Q

Presentation (in days) of intestinal perforation

A

24-48hr

83
Q

Presentation (in days) of thermal bowel injuries, as well as mechanism

A

4-10 days
Causes a coagulation necrosis > weakening of the bowel wall > delayed lumen perforation

84
Q

Recommended imaging for suspected bowel perf

A

CTAP IV + PO contrast

85
Q

Management of bowel perforation

A

Bowel resection and re-anastamosis (margin of a few cm to include any area that may undergo delayed necrosis)

86
Q

Mortality rate of bowel perf

A

20-50%

87
Q

Sensitivity and specificity of CTAP w/ PO contrast for bowel injury

A

Sensitivity: 90%
Specificity: 98%

88
Q

Post-op complications after bowel perf repair

A

Bowel obstruction
Bowel leak at repair site
Wound dehiscence
Repeat laparotomy
Parenteral nutrition if bowel function does not return quickly
Remote infection (ex: pneumonia)
Sepsis
ICU admission

89
Q

Incidence of vesicovaginal fistula after hysterectomy

A

0.02%

90
Q

Incidence of ureterovaginal and ureterosigmoid fistula after hysterectomy

A

0.02%

91
Q

Presentation of fistula after hysterectomy

A

Urine/feces from vagina (often constant, worse with valsalva/standing)
Unexplained fever
Hematuria
Flank/vaginal/suprapubic pain
Abnormal urinary stream
Recurrent cystitis/pyelonephritis if present for long periods of time

92
Q

Body fluid creatinine level if fistula

A

Elevated (typically in excess of 10mg/dL - this is typical of urine)

93
Q

Dye test for fistula

A

Phenazopyridine PO, backfill bladder with NS stained with methylene blue
Orange tampon: Ureterovaginal fistula
Blue tampon: Vesicovaginal fistula

94
Q

Imaging to identify entirety of renal collecting system?

A

IV contrast urography

95
Q

Imaging for fistula

A

Cystourethroscopy

96
Q

Non-surgical management for:
Vesicovaginal fistula
Ureterovaginal fistula

A

If small fistula that is identified early, prior to epithelialization of fistulous tract
VV: Foley cather
UV: Urinary stent for 4-8w

97
Q

Timing of surgical repair for fistula

A

If healthy, repair immediately (within 48hr of initial surgery)
If delay in diagnosis, delay for 3-6mo because of inflammation

98
Q

Definition of ileus

A

Mechanical dysfunction of GI tract (can involve stomach, small bowel, or large bowel)
Disruption of anterograde peristalsis

99
Q

When does post-op stomach and small bowel normal activity resume?

A

Within 8hrs

100
Q

When does post-op large bowel normal activity resume?

A

48-72hr post-op

101
Q

Milestones showing normal return to bowel function

A

Tolerating normal diet, then flatus (occurs over several days)

102
Q

RFs for ileus

A

Dehydration
Intestinal manipulation
General anesthetic
Narcotics
Immobility
Surgical complications (Ex: unrecognized injury, hematoma, abscess, peritonitis)
Electrolyte abnormalities
Diabetes
Chronic laxative use

103
Q

Symptoms of ileus

A

N/V
Worsening pain
Absent flatus
Abdominal distention
Tympanic
Hypoactive bowel sounds

104
Q

What to do if ileus >3-5 days

A

KUB to make sure there is not a mechanical SBO

105
Q

Ileus on imaging

A

Intermittent air throughout GI tract, including large intestine and rectum

106
Q

SBO on imaging

A

Proximal loops of small bowel with distention and air; No gas in colon

107
Q

Treatment of ileus

A

Usually resolves with conservative management
Bowel rest - strict NPO
IV hydration
Electrolyte repletion
Physical activity (avoid)
Avoid narcotics
ERAS protocol (decreases rates of ileus and NG tube placement)
Chewing gum, coffee

108
Q

Mechanism of port-site hernia

A

Longer the hernia is there, longer it is not able to be reduced - intestines become edematous, eventually resulting in constriction of mesentery and bowel hypoxia (higher risk for bowel perforation and necrosis)

109
Q

Incidence of port-site hernia

A

0.21-3.2%

110
Q

Risk of hernia at tissue-extraction site

A

7%

111
Q

Estimated incidence of vagina cuff dehiscence

A

0.14-4.1%

112
Q

Incidence of evisceration

A

0.032-1.2%

113
Q

Mean time to presentation for vaginal cuff dehiscence

A

6.1w-1.6% following hysterectomy

114
Q

Risk of vaginal cuff dehiscence per hyst route

A

TAH - 23%
TVH / LAVH - 26%
TLH - 58%
Other pelvic surgery - 5%

115
Q

Precipitating event for vaginal cuff dehiscence

A

~70% spontaneous
8-48% after intercourse
16-30% occur after defecation or valsava

116
Q

Most common symptom of vaginal cuff dehiscence

A

Pain (58-100%)

117
Q

Second most common symptom of vaginal cuff dehiscence

A

Vaginal bleeding or watery discharge

118
Q

% of vaginal cuff dehiscence that have evisceration

A

~70%

119
Q

% vaginal cuff dehiscence that are asymptomatic

A

> 50%

120
Q

RFs for vaginal cuff dehiscence

A

Older age
Vaginal atrophy
Extensive pelvic or vaginal surgical hx
Poor wound healing (ex: malignancy, chronic steroid use, malnutrition, radiation therapy)
Valsalva
Infection
Hematoma

121
Q

Prevention of vaginal cuff dehiscence

A

Cuff closure with monofilament suture
Minimal electrosurgery
Full thickness closure (include pubocervical fascia, mucosa, uterosacrals)
Vaginal estrogen if post-menopausal

122
Q

Which repair approach to vaginal cuff dehiscence is superior?

A

NONE!
If evisceration present, cannot heal by secondary intention

123
Q

How to repair vaginal cuff

A

Sharply debride edges until bleeding is achieved
Reapproximate with delayed monofilament suture

124
Q

% risk of repeat dehiscence

A

4%

125
Q

Indications for transvaginal repair of vaginal cuff dehiscence

A

Medically stable
No peritonitis
No bowel injury

126
Q

Incidence of neurologic injury with LSC

A

1-2%

127
Q

Most common nerve injury LSC

A

Lumbosacral or brachial plexus

128
Q

Origin of femoral nerve

A

L2-L4

129
Q

Pathway of femoral nerve

A

Passes inferolaterally through psoas, exits pelvis beneath inguinal ligament

130
Q

Mechanism of femoral injury

A

COMPRESSION INJURY
Retractors
Hyperflexion

131
Q

Femoral nerve injury symptoms

A

M: Hip flexion, knee extension, loss of patellar reflexes
S: Anterior/medial thigh and leg

132
Q

Origin iliohypogastric/ilioinguinal nerves

A

T12-L1

133
Q

Pathway of iliohypogastric/ilioinguinal nerves

A

Run laterally thorough psoas mm and diagonally along QL

134
Q

Mechanism of iliohypogastric/ilioinguinal nerve injury

A

ENTRAPMENT OR COMPRESSION:
During lateral port placement or fascial closure
PLACE TROCHARS ABOVE ASIS

135
Q

Iliohypogastric/ilioinguinal nerve injury symptoms

A

IH: Numbness over hypogastric and gluteal
II: Numbness over groin, inner thigh, labia majora

136
Q

Origin genitofemoral nerve

A

L1-L2

137
Q

Pathway genitofemoral nerve

A

Traverses anterior psoas, lies lateral to external iliac vessels

138
Q

Mechanism of genitofemoral nerve injury

A

STRETCH, TRANSECTION, OR ENTRAPMENT INJURY:
During pelvic sidewall dissection, pelvic LND

139
Q

Genitofemoral nerve injury symptoms

A

S: Numbness along mons pubis, labia majora, femoral triangle

140
Q

Origin obturator nerve

A

L2-L4

141
Q

Pathway obturator nerve

A

Passes over pelvic brim, behind common iliac vessels, enters thigh in obturator foramen

142
Q

Mechanism of obturator nerve injury

A

STRETCH, TRANSECTION, OR ENTRAPMENT INJURY:
During pelvic sidewall dissection, pelvic LND, transobturator sling placement, paravaginal defect repair

143
Q

Obturator nerve injury symptoms

A

M: Hip adduction
S: Numbness along upper medial thigh

144
Q

Sciatic nerve origin

A

L4-S3

145
Q

Pathway of sciatic nerve

A

Emerges from pelvis under piriformis > travels lateral and inferior through gluteal region

146
Q

Mechanism of sciatic nerve injury

A

STRETCH INJURY:
Mainly from improper patient positioning

147
Q

Sciatic nerve injury symptoms

A

M: Hip extension, knee flexion
S: Numbness along posterior thigh and leg

148
Q

Origin common peroneal nerve

A

Sciatic nerve (L4-S3)

149
Q

Pathway of common peroneal nerve

A

Mid thigh - passes over fibular head

150
Q

Mechanism of common peroneal nerve injury

A

COMPRESSION INJURY:
During improper patient positioning

151
Q

Common peroneal nerve injury symptoms

A

M: Dorsiflexion/foot drop
S: Numbness along lateral leg and dorsum of foot

152
Q

Origin of pudendal nerve

A

S2-S4

153
Q

Pathway of pudendal nerve

A

Exits pelvis through greater sciatic foramen, travels in close proximity to ischial spine, enters pelvis again through lesser sciatic foramen

154
Q

Mechanism of pudendal nerve injury

A

ENTRAPMENT INJURY:
During sacrospinous ligament fixation

155
Q

Pudendal nerve injury symptoms

A

Post-operative gluteal, perineal, vulvar pain that worsens with sitting

156
Q

Origin of brachial plexus

A

C5-T1

157
Q

Pathway of brachial plexus

A

Lies within posterior triangle of neck

158
Q

Mechanism of brachial plexus nerve injury

A

STRETCH INJURY:
Improper patient positioning
Hyperabduction of arm, shoulder depression with shoulder blocks during trendelenberg

159
Q

Brachial plexus nerve injury symptoms

A

M: Depends on portion involved, loss of ability to use small mm of hand, medial rotation and pronation of hand
S: Sensory loss to hands and fingers

OBGYN (16 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions