Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

SURG TESTS > Chapter 15 procedures > Flashcards

Chapter 15 procedures Flashcards

gynecological procedures

1
Q

transverse incisions used for gyn procedures

A

cherney
- common in urology
mayland
- slow access, better exposure
pfannestiel (most common)

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

what is a basic laparoscopy used for

A

diagnostic purposes

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

how to start a basic (Dx) laparoscopy: vaginal

A

handheld retractor placed
uterine manipulator is palced
- covered with drape

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

how to start a basic (Dx) laparoscopy: abdominal

A

abd is insufflated and trocars placed

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

how to start a cervical Bx

A

acetic acid and lugols are used to indicate abnormal tissue

biopsy
- small lesions
cone Bx

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

anatomy surrounding total abdonimal hysterectomy

A

fallopian tubes+ ovaries

broad ligament
round ligament
suspensory ligament
ovarian ligaments

cervical ligaments
- uterosacral
- vesicouterine
cardinal

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

what structures do oyu need to identify and protect in total abdominal hysterectomy

A

bladder
ureters
rectum
iliac vessels

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

what is removed in a total abd hysterectomy

A

uterus and cervix

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

what is it called if you remove uterus, cervic, and fallopian tubes+ ovaries

A

total abdominal hysterectomy with bilateral salpingectomy oopherectomy

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

what do you do following the incision in a TAH

A

abd is througoughly inspected

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

what is used to control the uturus

A

tenaculum placed into the fundus of the uterus

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

what is the most common instrument used to manipulate the uterus

A

multitoothed tenaculum

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

first two steps of a TAH

A

round ligament found, clamped, ligated

the leaves of the broad ligament are sharply opened ant + post
- ant leaf open to vesicouterine fold

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

third step of TAH after leaves of broad ligament are opened (if not doing BSO)

A

if the ovary is to be preserved, the fallopian tube and ovaries are clamped incised + ligated
(hug the uterus)

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

what is the third option of TAH if youre doing a BSO

A

the infundibulopelvic ligmaent is clamped incised and ligated
(move laterally from uterus)

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

what is the fourth step of TAH after fallopian tubes are ligated

A

bladder is bluntly dissected from the lower uterus and cervix
- along the AVASCULAR plane

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

what is the fifth step of TAH
after bladder id dissected

A

uterine vessels are clamped and ligated

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

what is the sixth step of TAH
after uterine vessels are clamped and ligated

A

dissect the paracervical fascia to mobilize the uterus

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

what is the seventh step of TAH
after dissecting the paracervical fascia

A

cardinal ligament is divided by placing two clamps

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

what is the eigth step of TAH
after dividing cardinal ligament

A

uterosacral ligaments are identified, clamp cut and tied

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

what is the ninth step of TAH
after uterosacral ligaments are cut

A

last cut with jorgensens, uterus is removed

  • now classified as class ii
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

what is the tenth step of TAH
after uterus is removed

A

vaginal cuff is closed

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

what instruments are contaminated in TAH

A

instruments used to close cuff

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

what is a hysteroscopy

A

viewing of inside of uterus transvagianlly

retractor + tenaculum + sound + dilator + scope

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
what is marsupilization of the batholins gland cyst
obstruction of the bartholins gland - incision and drainage
26
steps for marsupilizaton of bartholins gland cyst
- incision on vag mucosa - cyst dissected - cyst opened and drained - cyst wall everted and sutured to vag mucosa
27
why are simple vuvlectomies performed
when begnign or malignant tumors of the vulva - last resort
28
what do simple vulvectomies treat
genital condylomata and padgets
29
steps to a simple vulvectomy
incision - epithelium undermined - control bleeding - outer incision - dissect only adipose layer - tissue approximated with absorb. suture - approximate skin edges - drain - evert vaginal epi over perineum
30
what is a labiaplasty done for
corrects labia minora hypertrophy - when the labia is torn/ stretched
31
how do you do the labiaplasty
laser or sharp dissection of epithelium closure
32
pathology for D+C (dilation and curetagged)
diagnostic - cause of infertility - rule out preggo/ disease theraputic - post part bleeding - removal of suspected pathology - incomplete abortion - retrive lost IUD
33
what is a D+E
dilation and evactuation - retrieving incomplete abortion after 13 weeks
34
*steps of a D+C*
- avard placed - cervix grasped with tenaculum - uterine sound placed - curette placed to scrape cervical mucosa - cervix dilated progressively - polyp forceps to extract polyps - curette advaned into uterus - endometrial specimen scraped - specimen handed to circulator
35
benefits of suction D+C
faster, safer, does not require instrument curettage
36
characteristics of cannula used in a suction D+C
- plastic, slightly curved, round tip - can have serrations at tip - connects to special tubing - may utilize a specimen trap
37
what is a cervical Bx for
surgical response to abnormal pap smear
38
indicators of abnormal tissue in cervical Bx
acetic acid - turns white lugols solution - turns brown
39
types of cervical biopsy
biopsy cone biopsy
40
oophorectomy steps
- moist sponges placed around - window created in suspensory ligament peritoneum - clamp clamp cut tie suspensory and ovarian ligament - ovary removed
41
steps of salpingectomy
- window is created in mesosalpinx of broad ligament - clamp clamp cut tie along broad lig + mesosalpinx - cornu uterine incision - suture closes myometrium - suture closes mesosalpinx
42
indications for a salpingectomy
prophylactically occlusive disease ectopic preggo acute + chronic infections benign + malignant tumors
43
what is an endometrial ablation for
to treat chronic menorrhagia
44
forms of endometrial ablation
laser resectoscope thermal radiofrequency
45
what is a myomectomy
excision of uterine fibroids
46
considerations with myomectomy
challenging procedure high rate of morbidity + bleeding abd lap or vag approach
47
steps of abd myomectomy
- pfannesteil or midline - retractor placed - vertical incision over myoma - incise pseudocapsule - expose tissue planes - blunt dissection, cut, cauterize, laser and peel myoma from the capsule - incision + abd closed
48
what are the three cervical ligaments
uterosacral vesicouterine cardinal (transverse)
49
*what is done following the incision on an TAH*
*- go into abd cavity - look for unexpected pathology - uterus and adnexa accessed*
50
what is used to facilitate control of the uterus
tenaculum
51
order of ligaments in TAH
round, broad, suspensatory, cardinal uterosacrals
52
counts in a TAH
initial closing the vaginal cuff fascia subQ skin final
53
types of hysterectomies
- LAVH: laparoscopically assisted vaginal hysterectomy - robot assisted
54
order of ligaments for an abd hysterectomy
- ovarian ligament - uterine artery - paracervical fascia - cardinal ligaments - uterosacral ligaments
55
order of steps/ ligaments for vaginal hysterectomy
- bladder ligament - uterosacral - cardinal - paracervical - uterine arteries - ovarian ligaments
56
*what blade/ handle do you use for vag hysterectomy*
*15 blade 7 handle*
57
what is uterine radiation seeding
implanted sealed radionuclide seeds - shrinks tumor preop used to kill uterine cancer
58
options for uterine radiation seeding
invasive or noninvasive temporary or permanent
59
what is a radical hysterectomy
en bloc removal of the ovaries fallopian tubes uterus ligaments, cervix, upper ⅓ of vaginal and all associated pelvic lymph nodes
60
what is total pelvic exenteration
treatment of choice for cancer reoccuring in cervix or vagina - done after radical hysterectomy doesnt work takes out literally everything
61
what does a total pelvic exenteration require
requires permanent ileostomy and colostomy may require skin grafting
62
what is an anterior and posterior repair (colporrhaphy)
prolapse of the bladder or rectum into the vaginal vault due to weakened connective tissue and musculature that support the uterus
63
what are indications of anterior and posterior repair
cystocele: urinary incontinence rectocele: fecal incontinence sexual incompetency
64
what is a posterior repair
posterior vaginal mucosa excised at he posterior fourchette

SURG TESTS (24 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions