Complications from surgery

Question 1

Tibial Nerve

Answer 1

foot plantar and toe flexion

Question 2

Ilioinguinal/iliohypogastric

Answer 2

L1-2 suprapubic, labia and thigh sensation

Question 3

Genitofemoral

Answer 3

L1-2 labia and anterior superior thigh sensation

Question 4

Lateral Femoral Cutaneous

Answer 4

L2-3

Question 5

Obturator

Answer 5

L2-3 Thigh adduction

Question 6

Femoral

Answer 6

L2-4 hip flexion and knee extension

on poas muscle
under inguinal ligament (hyperextension)

Question 7

Pudendal

Answer 7

S2-4 vulva and perineum

entraped during sacrospinous ligament fixation

Question 8

Vascular injury management

Answer 8

Notify anesthesia
 Trendelenburg position (if not in it)
 Emergency conversion
 Hold pressure
 Expert help (vascular surgery, trauma surgery)

Question 9

Port Site Hematoma

Answer 9

Foley balloon with pressure

Embolism if very large

Question 10

Prevention of bowel or bladder injury

Answer 10

Avoid cutting trocars
 Placement of an NG/OG tube
 Placement of a Foley catheter
 Check instruments for defects in insulation

Question 11

Symptoms of GI injury

Answer 11

Stool/enteric contents in field or incisional
(abdominal/vaginal) drainage
 Fevers/abscess formation
 Abdominal pain and distention
 Ileus

Question 12

Enterotomy closure

Answer 12

Close in two layers (3-0 PGA)
 Full thickness interrupted suture (absorb)
 Seromuscular imbricating suture (silk)
 Tension-free repair
If >50% of diameter
is compromised then
consider resection
- Suture line should be
perpendicular to the
long axis of the bowel
to prevent narrowing

Question 13

port site hernia prevention

Answer 13

fascia closure when >10 mm