Gynae Surgery

Question 1

Tissue damage occurs at ___ temp

Answer 1

42C

Question 2

Advanced bipolar devices can cause ___ lateral thermal spread

Answer 2

7mm

Question 3

Ultrasound devices seal vessels up to ___ diameter

Answer 3

5mm

Question 4

What is the draw back of devices that use ultrasound?

Answer 4

Higher tip temperature post activation

Question 5

Hybrid energy devices utilise ____

Answer 5

Ultrasound and bipolar energy

Question 6

Hybrid energy devices coagulate vessels up to what diameter?

Answer 6

7mm

Question 7

Plasma devices coagulate to a depth of ___

Answer 7

2mm

Question 8

What is the lateral thermal spread of plasma devices?

Answer 8

<8mm

Question 9

Risks of plasma devices

Answer 9

Gas emboli
High intra-abdominal pressures (reduced ventilation and cardiac output)

Question 10

Incidence of surgical site infection after hysterectomy

Answer 10

1.6%

Question 11

Most common pathogens in surgical site infection

Answer 11

E. coli
Enterococcus spp
Staph aureus

Question 12

Consider second dose abx prophylaxis when

Answer 12

EBL >1500mls
Surgery >3 hours

Question 13

Optimal length of time to allow skin prep to dry before surgery is

Answer 13

3 minutes

Question 14

Wound cleansing advice

Answer 14

Sterile saline up to 48 hours
Tap water after 48 hours

Question 15

Types of nec fash

Answer 15

Type 1 - polymicrobial
Type 2 - strep A
Type 3 - gas gangrene

Question 16

Commonest nec fash in o&g

Answer 16

Type 2