2P - CS, Postpartum Hysterectomy, VBACS Flashcards
When does do we do hysterectomy?
At the time or within 24 hrsd after delivery
What type of patients require a readily available hysterectomy?
Multiple risk factors and prior post partum hemorrhage
What is the most common planned hysterectomy cause?
placenta accreta, increta and percreta
Also those with cervical carcinoma and myoma
What is the most common cause for emergent hysterectomy?
Uncontrolled Uterine hemorrhage
What organs are removed by total hysterectomy?
uterus, cervix and corpus
What are removed in subtotal or supracervical hysterectomy?
Uterus and corpus leaving the cervix
What direction of incision is preferred in operative delivery?
Vertical incision
A G1P1 patient develops placenta previa, hysterectomy should be high or low?
High
High hysterectomy also preferred in large bladder varicosities and significant anterior adhesions
Stain test that can help check if there is a bladder injury or leak post surgery?
Methylene blue test
Stain test that can help check if there is a ureter injury or leak post surgery?
indigo carmine test
What procedure post surgery after checking the bladder and the ureters help lessen risk of infection?
Copious irrigation
Process that controls low pressure pelvic bleeding?
Pelvic packing
A more readily available hemostatic agent that fibrin sealant?
absorbable gelatin
What drugs can be given to prevent venous thrombosis post op?
LMW heparin or enoxaparin
If a patient is stable, how many hours post op can a urinary catheter be removed?
24 hrs
