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part 2 > consent > Flashcards

consent Flashcards

1
Q

Risk of uterine perforation: ERPC for PPH

A

5.1-5.7%

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2
Q

Risk of uterine perforation: Curretage intrauterine adhesions

A

0.07-1.8%

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3
Q

risk of uterine perforation: TOP

A

0.4-0.6%

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4
Q

risk of uterine perforation: hysteroscopy

A

0.2-2%

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5
Q

overall risk complications hysterectomy

A

4/100

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6
Q

risk blood transfusion hysterectomy

A

23/1000

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7
Q

risk damage to bladder or ureter in hysterectomy

A

7/1000

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8
Q

risk return to theatre for hysterectomy

A

7/1000

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9
Q

hysterectomy: risk pelvic abscess or infection

A

2/1000

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10
Q

hysterectomy: risk VTE

A

4/1000

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11
Q

hysterectomy: risk damage to bowel

A

4/10 000

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12
Q

hysterectomy: risk death within 6 wks

A

32/100 000

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13
Q

vag repair: blood tx or RTT

A

2/100

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14
Q

vag repair: damage to bladder

A

2/1000

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15
Q

vag repair: damage to bowel

A

5/1000

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16
Q

vag repair: pelvic abscess

A

3/1000

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17
Q

% bowel injuries that may be missed during laparoscopy

A

15%

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18
Q

SMM: heavy bleeding requiring transfusion

A

0-3/1000

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19
Q

SMM: infection

A

40/1000

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20
Q

SMM: RPOC

A

40/1000

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21
Q

SMM: repeat surgery (for RPOC)

A

3-18/1000

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22
Q

SMM: intrauterine adhesions

A

16-18%

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23
Q

SMM: cervical trauma

A

<1/1000

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24
Q

SMM: uterine perf

A

1/1000
(up to 15/1000)
anterior wall most common (40%)

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25
Q

SMM: overall complication rate

A

6%

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26
Q

laparoscopy: ureteric injury

A

1-2%
up to 20% in deep infiltrating endometriosis
complete transection most common

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27
Q

laparoscopy: ureteric injury diagnosed postop

A

70%

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28
Q

laparoscopy: bladder injury diagnosed postop

A

50%

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29
Q

amniocentesis: failure to obtain sample

A

6% after 1 attempt

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30
Q

amniocentesis: miscarriage

A

1% over norm

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31
Q

amniocentesis: blood stained sample

A

0.8%

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32
Q

amniocentesis: rare

A

fetal injury

maternal bowel injury

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33
Q

amniocentesis: severe sepsis

A

<1/1000

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34
Q

diagnostic hysteroscopy: overall risk of serious complications

A

2/1000

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35
Q

diagnostic hysteroscopy: frequent risks

A

infection

bleeding

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36
Q

diagnostic hysteroscopy: serious risks - uncommon

A

damage to uterus

failure to gain entry/complete procedure

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37
Q

diagnostic hysteroscopy: serious risks - rare

A

damage to bowel, bladder or vessel

infertility

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38
Q

diagnostic hysteroscopy: serious risks - very rare

A

death 3-8/100 000

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39
Q

c/s: readmission to hospital

A

5/100

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40
Q

c/s: hemorrhage

A

5/1000

41
Q

c/s: infection

A

6/100

42
Q

c/s: persistent wound and abdominal discomfort

A

9/100

43
Q

c/s: emergency hysterectomy

A

7-8/1000

44
Q

c/s: later surgery

A

5/1000

45
Q

c/s: admission to ITU

A

9/1000

46
Q

c/s: bladder injury

A

1/1000

47
Q

c/s: ureter injury

A

3/10 000

48
Q

c/s: VTE

A

4-16/10 000

49
Q

c/s: death

A

1/12 000

8.3/100 000

50
Q

c/s: future risk of antepartum SB

A

1-4/1000

51
Q

c/s: future risk of placental abnormalities

A

4-8/1000

52
Q

c/s: complication rate for intrapartum vs planned

A

emergency 24/100

planned 16/100

53
Q

c/s: complication rate for first vs second stage

A

first 17/100

second 33/100

54
Q

vag repair: death within 6 weeks

A

37/100 000

55
Q

vag repair: frequent risks

A 
UTI, retention, frequency
Vaginal bleeding
post-op pain
dyspareunia
wound infection
56
Q

oasis: very rare risks

A

rectovaginal fistula

57
Q

oasis: rare risks

A

hematoma

failure of repair requiring further interventions

58
Q

oasis: uncommon

A

delivery by c/s in future depending on symptoms and investigations

59
Q

oasis: common

A

incontinence of stools/flatus
wound infection 8/100
perineal pain and dyspareunia 9/100

60
Q

oasis: fecal urgency

A

26/100 very common

61
Q

oasis: frequent risks

A

fear, difficulty, discomfort passing stools
migration of suture material requiring removal
granulation tissue formation
UTI
wound infection
pain
fecal urgency

62
Q

oasis: wound infection

A

8/100

63
Q

oasis: pain and dyspareunia

A

9/100

64
Q

diagnostic laparoscopy or laparoscopy for tubal ectopic: overall risk of serious complications

A

2/1000 (uncommon)

65
Q

laparoscopy for tubal ectopic: persistent trophoblastic tissue when salpingostomy performed

A

4-8%

66
Q

diagnostic laparoscopy or laparoscopy for tubal ectopic: risk of death

A

3-8/100 000

67
Q

laparoscopy for tubal ectopic: frequent risks

A 
inability to identify cause
bruising
shoulder tip pain
wound gaping or infection
persistent trophoblastic tissue
68
Q

laparoscopy for tubal ectopic: serious risks

A

damage to bowel, bladder, uterus, vessels
failure to gain entry requiring laparotomy
hernia at site of entry
death

69
Q

OVB: PPH

A

1-4/10 (very common)

70
Q

OVB: retinal hemorrhage

A

17-38/100 (very common)

71
Q

OVB: cephalhematoma

A

1-12/100 (common)

72
Q

OVB: facial or scalp laceration

A

1/10

73
Q

OVB: neonatal jaundice

A

5-15/100

74
Q

OVB - vacuum - risk of OASIS

A

1-4/100 (common)

75
Q

OVB - forceps - risk of OASIS

A

8-12/100 (very common)

76
Q

OVB - vacuum - extensive tears

A

1/10

episiotomy + repair 5-6/10

77
Q

OVB - forceps - extensive tears

A

1/5 (20%)

episiotomy + repair 9/10

78
Q

OVB - subgleal hematoma

A

3-6/1000 (uncommon)

79
Q

OVB - intracranial hemorrhage

A

5-15/10 000 (uncommon)

80
Q

c/s previa: risk of MOH

A

21/100

81
Q

c/s previa: risk of hysterectomy

A

11/100 (27/100 if previous c/s)

82
Q

c/s previa: risk of further laparotomy

A

75/1000

83
Q

c/s previa: risk of VTE

A

3/100

84
Q

c/s previa: risk of bladder or ureter injury

A

6/100 (common)

85
Q

c/s previa: risk of future previa

A

23/1000

2%

86
Q

c/s previa: frequent risks

A

admission to ITU
infection
blood transfusion
admission to NICU

87
Q

sterilisation: failure resulting in unplanned pregnancy at 10y

A

2-5/1000

1/500 up to 1/200

88
Q

sterilisation: visceral or blood vessel injury

A

2/1000

89
Q

sterilisation: death

A

1/12 000 (very rare)

8/100 000

90
Q

sterilisation: risk of laparotomy

A

3/1000

91
Q

vasectomy failure rate

A

1/2000

92
Q

morcellation: risk of disseminated fibroids

A

1/120-1200

93
Q

very common risk: 1 in ____

A

1 to 10 (person in family)

94
Q

common risk: 1 in ___

A

10 to 100 (person on street)

95
Q

uncommon risk : 1 in ____

A

100 to 1000 (person in village)

96
Q

rare risk: 1 in ____

A

1000 to 10 000 (person in small town)

97
Q

very rare risk: 1 in ____

A

<10 000

98
Q

risk of bowel injury in laparoscopy

A

0.4/1000

99
Q

risk of vascular injury in laparoscopy

A

0.2/1000

part 2 (21 decks)

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