7. Surgical Procedures

Question 1

In dermoid cystectomy, which 2 factors are reduced for mini-laparotomy vs laparoscopy?

Answer 1

Operative time
Rate of spillage of contents

Question 2

For surgical management of a fibroid uterus, which complication is more likely with hysterectomy vs open myomectomy?

Answer 2

Visceral damage

Question 3

Which surgical procedure has the highest rate of bladder injury?

Answer 3

Laparoscopic-assisted vaginal hysterectomy

Question 4

What is the risk of a subsequent ectopic following a) salpingotomy, b) salpingectomy?

Answer 4

a) 8%
b) 5%

Question 5

Which operative procedure for vaginal vault prolapse has the lowest recurrence rate?

Answer 5

Open abdominal sacrocolpopexy

Question 6

What is the maximum recommended IAP for lap appendicectomy in pregnancy?

Answer 6

12 mmHg

Question 7

What is the risk of intraoperative blood transfusion in vag hyst for prolapse?

Answer 7

2%

Question 8

What is the risk of RPOC following ERPC for missed miscarriage?

Answer 8

4%

Question 9

What is the next step after 360° survey in laparoscopy?

Answer 9

Tilt the table to Trendelenberg position

Question 10

What technique can be used at vag hyst to reduce the chance of PHVP?

Answer 10

McCall culdoplasty

Question 11

What technique can reduce urinary incontinence after PHVP repair?

Answer 11

Culposuspension along with sacrocolpopexy

Question 12

If the vault descends below the introitus at vag hyst, what can be done?

Answer 12

Sacrospinous fixation

Question 13

At hysterectomy for uterine fibroids, how can PHVP be prevented?

Answer 13

Attaching uterosacral & cardinal ligaments to vaginal cuff & obliterating Pouch of Douglas