Module 5 - Core Surgical Skills Flashcards
What is the risk of bowel injury during laparoscopy?
A - 1 in 1,000
B - 2 in 1,000
C - 0.2 in 1,000
D - 0.4 in 1,000
D - 0.4 in 1,000
What is the risk of major vessel injury during laparoscopy?
A - 1 in 1,000
B - 2 in 1,000
C - 0.2 in 1,000
D - 0.4 in 1,000
C - 0.2 in 1,000
What is the risk of serious complication during laparoscopy?
A - 1 in 1,000
B - 2 in 1,000
C - 0.2 in 1,000
D - 0.4 in 1,000
B - 2 in 1,000
Which instrument is used to dissect the ureter?
Lahey forceps
Which instrument is used to minimise blood loss in an open myomectomy by reducing uterine blood flow?
Bonney’s myomectomy clamps
Which instrument is used to hold the tips of ovarian cysts?
Allis forceps
Which instrument is used to hold bowel or fallopian tubes during laparotomy?
Babcock’s forceps
What’s the estimated rate of adhesion formation in women undergoing pelvic surgery?
55-100%
What’s the most common cause of death following a laparoscopic procedure?
Anaesthetic complications
Followed by major vessel injury
What is the risk of death during laparoscopy?
3-8 in 100,000
What is the risk of ureteric injury during laparoscopy?
<1 - 2%
What is the risk of retained placenta/POC with surgical management of miscarriage?
4%
What are the increased complications from TLH vs tah?
1) Urinary tract injury
2) Vaginal cuff dehiscence
What is the risk of hernia with laparoscopy?
1 in 100
What proportion of bowel injuries are not recognised at the time of laparoscopy?
15%
What is the most common type of ureteric injury at laparosocopy?
Transection
60%
Where do the majority of ureteric injuries at laparoscopy occur?
Lower 1/3 injuries most common - 50%
At pelvic brim and lateral to the cervix
What proportion of ureteric injuries are not diagnosed intra-operatively?
70%
What proportion of ureteric injuries are diagnosed intra-operatively?
30%
What proportion of bladder injuries are diagnosed intra-operatively?
50%
What is the overall risk of serious complications with abdominal hysterectomy?
4%
What is the risk of haemorrhage requiring transfusion with abdominal hysterectomy?
2.3%
What is the risk of bladder +/- ureteric injury +/- long-term bladder dysfunction with abdominal hysterectomy?
0.7%
What is the risk of return to theatre (i.e. bleeding or wound dehiscence, etc.) with abdominal hysterectomy?
0.7%
What is the risk of VTE with abdominal hysterectomy?
0.4%
4 in 1,000
What is the risk of pelvic infection/abscess with abdominal hysterectomy?
0.2%
2 in 1,000
What is the risk of bowel injury with abdominal hysterectomy?
0.4 in 1,000
0.04%
What is the risk of death in the first 6 weeks with abdominal hysterectomy?
32 in 100,000
What is the risk of death with CS?
24 in 100,000
What is the risk of placenta accreta spectrum with CS?
1 in 1,000
What is the risk of emergency hysterectomy with CS?
15 in 10,000
What is the risk of uterine rupture after 1 CS?
1 in 100
What is the average hospital stay after CS?
4 days
What is the risk of wound infection with CS?
2-7 in 100
What is the risk of urinary tract injury with CS?
1 in 1,000
What is the risk of urinary incontinence >1 year after CS?
1 in 4
What is the risk of faecal incontinence >1 year after CS?
1 in 13
What is the risk of VTE after CS?
4-16 in 10,000
What is the overall risk of serious complication in ERPC?
6%
What is the risk of bleeding (heavy) with ERPC?
1-3 in 1,000
What is the risk of need for repeat procedure with ERPC?
4%
4 in 100
What is the risk of pelvic infection with ERPC?
4%
4 in 100
What is the risk of development of adhesions with ERPC?
19%
19 in 100
What is the risk of perforation with ERPC?
1 in 1,000
What is the risk of cervical trauma with ERPC?
<0.1 in 1,000
What is the risk of serious complications with diagnostic hysteroscopy?
2 in 1,000
What is the risk of death with diagnostic hysteroscopy?
3-8 in 100,000
For women undergoing CS for placenta praevia, what is the risk of requiring further laparotomy?
7.5%
7.5 in 100
