Gyne Flashcards
How is excision of condylomata preformed?
With electrocautery
Sharp excision
Laser
What is a vulvectomy?
Removal of Lanka minora and majora
Possibly clitoris and tissue from perianal area
Why is a vulvectomy preformed?
Carcinoma in situ of vulva
Leukoplakia
Intractable puritis
What is a radical vulvectomy?
Complete dissection of Skin from abd and groin Lab min and maj Clitoris Mons veneris Terminal urethra, vagina, and other vulvar organs Superficial and deep inguinal nodes Portion of round ligament Portion of saphenous vein Lesion itself
Reconstruction of vaginal walls and pelvic floor
Closure of abdominal wound
Full thickness skin grafts or flap rotations
Abdominoperineal and groin dissection
How is a bartholins cyst taken care of?
Incised, sutured open to allow drainage.
What are the three parts of the uterus?
Fundus (top)
Corpus ( middle inner part)
Isthmus (section connecting into Fallopian tube)
What are the three layers of the uterus?
Serous
Myometrium (middle)
Endometrium (inner lining)
Blood supply of ovaries?
Direct from aorta via ovarian artery
Uterus blood supply?
Internal iliac via uterine
Blood supply for vagina?
Vaginal arteries
Blood supply for Fallopian tubes?
Uterine artery
Ovarian artery
When is examination under anesthetic done?
Nervous pt
Pain dx
Obese
What is an incisional biopsy of the cervix?
Punch biopsy
What is a cone biopsy?
Biopsy in cone shape to level of internal OS
What is fractional dilation and curettage?
Pt is dilated and all sections of endometrium curetted for specimens, incomplete abortions, etc.
What are laminate tents?
Inserted 4-24 hours before procedure to help dilate cervix.
What is a hydatiform mole?
Molar pregnancy.
Defective egg is fertilized with sperm or more than two sperm fertilize an egg.
What is endometrial ablation?
Removal of endometrial layer in uterus by hysterics ope and electrosurgical unit and laser, or balloon endometrial ablation.
Treats uterine bleeding.
Goal to create amenorrhea or reduce menstrual bleeding.
Alternative to hysterectomy
What is anterior repair of cystocele?
Herniation of bladder into vaginal wall, restores bladder to normal position.
What is posterior repair (rectocele)?
Protrusion of anterior rectal wall in vagina.
Feelings of pressure, difficulty evacuating lower bowel, haemorrhoids
What is tension free vaginal tape?
Prolene sheath passes under urethra through to abdomen to support in center for female urinary incontinence. Abdominal muscles tighten and pulls sling upwards.
What is a myomectomy?
Removal of one or more fibroids. Arise from muscular wall of uterus Indications include: Pain Pressure Irregular bleeding Infertility
Functional ovarian cysts develop from
Corpus luteum
Dermoid cyst is aka
Teratomas
What is the name for removal of a Fallopian tube and all or part of an ovary?
Salpingo-oophorectomy
What is tuboplasty?
Reversal of tubal ligation
Aka tuboplasty
What is cyklokapron?
Anti fibrinolytic
Treat hyperfibrinolysis
Short term use in patients with coagulopathies
What is epinephrine?
Adrenaline
Prolonged action of anaesthetics
Hemostatic agent
What is ergometrine (pitressin)
Prevent or treat post-partum or post-abortal hemorrhage
Used with uterine muscle weakness (atony)
What is oxytocin?
Pitocin Stimulate uterine contractions Improve uterine tone Aid in placental delivery Treat post partum hemorrhage
What is indigo carmine?
Determines patency of ureters/Fallopian tubes
What is lugols solution?
Potassium iodine
Strong iodine solution
Staining tissue
Diagnostic use
What is methylene blue?
Indicator dye
Determines patency of Fallopian tubes in infertile patients.
What is Monsels solution?
Astringent to check light bleeding from scratches and small cuts
What is versed (midazolam)
Used in conscious sedation
Short endoscopic or diagnostic procedures
Sedation after IV injection 3-6 mins
Benzodiazepine antagonist - Anexate
What is fentanyl?
Narcotic analgesic
Local laparoscopy or local hysteria copy
Narcotic antagonist - narcan
What is omnipaque 300?
Contrast media
Inflate catheter bulb
What is marcaine?
Local anesthetic
Long lasting effect 3-6 hours
Several strengths, plain or epinephrine
What is xylocaine?
Local anesthetic
Not as long lasting as marcaine
Concentrations of 0.5% to 2% plain or epinephrine