consent Flashcards
1
Q
Risk of uterine perforation: ERPC for PPH
A
5.1-5.7%
2
Q
Risk of uterine perforation: Curretage intrauterine adhesions
A
0.07-1.8%
3
Q
risk of uterine perforation: TOP
A
0.4-0.6%
4
Q
risk of uterine perforation: hysteroscopy
A
0.2-2%
5
Q
overall risk complications hysterectomy
A
4/100
6
Q
risk blood transfusion hysterectomy
A
23/1000
7
Q
risk damage to bladder or ureter in hysterectomy
A
7/1000
8
Q
risk return to theatre for hysterectomy
A
7/1000
9
Q
hysterectomy: risk pelvic abscess or infection
A
2/1000
10
Q
hysterectomy: risk VTE
A
4/1000
11
Q
hysterectomy: risk damage to bowel
A
4/10 000
12
Q
hysterectomy: risk death within 6 wks
A
32/100 000
13
Q
vag repair: blood tx or RTT
A
2/100
14
Q
vag repair: damage to bladder
A
2/1000
15
Q
vag repair: damage to bowel
A
5/1000
16
Q
vag repair: pelvic abscess
A
3/1000
17
Q
% bowel injuries that may be missed during laparoscopy
A
15%
18
Q
SMM: heavy bleeding requiring transfusion
A
0-3/1000
19
Q
SMM: infection
A
40/1000
20
Q
SMM: RPOC
A
40/1000
21
Q
SMM: repeat surgery (for RPOC)
A
3-18/1000
22
Q
SMM: intrauterine adhesions
A
16-18%
23
Q
SMM: cervical trauma
A
<1/1000
24
Q
SMM: uterine perf
A
1/1000
(up to 15/1000)
anterior wall most common (40%)
25
SMM: overall complication rate
6%
26
laparoscopy: ureteric injury
1-2%
up to 20% in deep infiltrating endometriosis
complete transection most common
27
laparoscopy: ureteric injury diagnosed postop
70%
28
laparoscopy: bladder injury diagnosed postop
50%
29
amniocentesis: failure to obtain sample
6% after 1 attempt
30
amniocentesis: miscarriage
1% over norm
31
amniocentesis: blood stained sample
0.8%
32
amniocentesis: rare
fetal injury
| maternal bowel injury
33
amniocentesis: severe sepsis
<1/1000
34
diagnostic hysteroscopy: overall risk of serious complications
2/1000
35
diagnostic hysteroscopy: frequent risks
infection
| bleeding
36
diagnostic hysteroscopy: serious risks - uncommon
damage to uterus
| failure to gain entry/complete procedure
37
diagnostic hysteroscopy: serious risks - rare
damage to bowel, bladder or vessel
| infertility
38
diagnostic hysteroscopy: serious risks - very rare
death 3-8/100 000
39
c/s: readmission to hospital
5/100
40
c/s: hemorrhage
5/1000
41
c/s: infection
6/100
42
c/s: persistent wound and abdominal discomfort
9/100
43
c/s: emergency hysterectomy
7-8/1000
44
c/s: later surgery
5/1000
45
c/s: admission to ITU
9/1000
46
c/s: bladder injury
1/1000
47
c/s: ureter injury
3/10 000
48
c/s: VTE
4-16/10 000
49
c/s: death
1/12 000
| 8.3/100 000
50
c/s: future risk of antepartum SB
1-4/1000
51
c/s: future risk of placental abnormalities
4-8/1000
52
c/s: complication rate for intrapartum vs planned
emergency 24/100
| planned 16/100
53
c/s: complication rate for first vs second stage
first 17/100
| second 33/100
54
vag repair: death within 6 weeks
37/100 000
55
vag repair: frequent risks
```
UTI, retention, frequency
Vaginal bleeding
post-op pain
dyspareunia
wound infection
```
56
oasis: very rare risks
rectovaginal fistula
57
oasis: rare risks
hematoma
| failure of repair requiring further interventions
58
oasis: uncommon
delivery by c/s in future depending on symptoms and investigations
59
oasis: common
incontinence of stools/flatus
wound infection 8/100
perineal pain and dyspareunia 9/100
60
oasis: fecal urgency
26/100 very common
61
oasis: frequent risks
fear, difficulty, discomfort passing stools
migration of suture material requiring removal
granulation tissue formation
UTI
wound infection
pain
fecal urgency
62
oasis: wound infection
8/100
63
oasis: pain and dyspareunia
9/100
64
diagnostic laparoscopy or laparoscopy for tubal ectopic: overall risk of serious complications
2/1000 (uncommon)
65
laparoscopy for tubal ectopic: persistent trophoblastic tissue when salpingostomy performed
4-8%
66
diagnostic laparoscopy or laparoscopy for tubal ectopic: risk of death
3-8/100 000
67
laparoscopy for tubal ectopic: frequent risks
```
inability to identify cause
bruising
shoulder tip pain
wound gaping or infection
persistent trophoblastic tissue
```
68
laparoscopy for tubal ectopic: serious risks
damage to bowel, bladder, uterus, vessels
failure to gain entry requiring laparotomy
hernia at site of entry
death
69
OVB: PPH
1-4/10 (very common)
70
OVB: retinal hemorrhage
17-38/100 (very common)
71
OVB: cephalhematoma
1-12/100 (common)
72
OVB: facial or scalp laceration
1/10
73
OVB: neonatal jaundice
5-15/100
74
OVB - vacuum - risk of OASIS
1-4/100 (common)
75
OVB - forceps - risk of OASIS
8-12/100 (very common)
76
OVB - vacuum - extensive tears
1/10
| episiotomy + repair 5-6/10
77
OVB - forceps - extensive tears
1/5 (20%)
| episiotomy + repair 9/10
78
OVB - subgleal hematoma
3-6/1000 (uncommon)
79
OVB - intracranial hemorrhage
5-15/10 000 (uncommon)
80
c/s previa: risk of MOH
21/100
81
c/s previa: risk of hysterectomy
11/100 (27/100 if previous c/s)
82
c/s previa: risk of further laparotomy
75/1000
83
c/s previa: risk of VTE
3/100
84
c/s previa: risk of bladder or ureter injury
6/100 (common)
85
c/s previa: risk of future previa
23/1000
| 2%
86
c/s previa: frequent risks
admission to ITU
infection
blood transfusion
admission to NICU
87
sterilisation: failure resulting in unplanned pregnancy at 10y
2-5/1000
| 1/500 up to 1/200
88
sterilisation: visceral or blood vessel injury
2/1000
89
sterilisation: death
1/12 000 (very rare)
| 8/100 000
90
sterilisation: risk of laparotomy
3/1000
91
vasectomy failure rate
1/2000
92
morcellation: risk of disseminated fibroids
1/120-1200
93
very common risk: 1 in ____
1 to 10 (person in family)
94
common risk: 1 in ___
10 to 100 (person on street)
95
uncommon risk : 1 in ____
100 to 1000 (person in village)
96
rare risk: 1 in ____
1000 to 10 000 (person in small town)
97
very rare risk: 1 in ____
<10 000
98
risk of bowel injury in laparoscopy
0.4/1000
99
risk of vascular injury in laparoscopy
0.2/1000
