Gynecology

Question 1

Salpingo-oophorectomy

Answer 1

• Expose pelvic sidewall and identify infundibulopelvic and round ligament.
• Incised peritoneum 1 cm lateral to IP ligament toward Toldt, develop perirectal space.
• Identify ureter, EI V, EIA
• Window in peritoneum near ovarian vessels in suspensory ligament.
• Transect attachments and ovarian ligament.
• Ligate fallopian tube near corunua.

Question 2

Ovarian cystectomy

Answer 2

• Expose and stabilize ovarian mass
• incise ovarian serosa over mass
• separate mass from serosa
• ligate feeding vessels
• close serosa with vicryl suture
• Oophorectomy if uncontrollable bleeding