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Week 21 POP > POP > Flashcards

POP Flashcards

1
Q

Prevention of vault prolapse at hysterectomy techniques

A

McCall culdoplasty
Suturing the cardinal and uterosacral ligaments to the vaginal cuff
SSF

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2
Q

Conservative management of vault prolapse

A

PFMT

Pessaries

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3
Q

Open abdo sacrocolpopexy versus SSF

A

ASC - lower rates of recurrence, dyspaerunia, and SUI - but not reflected in operation rates or patient satisfaction

SSF - earlier recovery, caution if have dyspaerunia or short vaginal length

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4
Q

McCall culdoplasty

A

Performed to support cuff at hysterectomy

Attach uterosacals and cardinals to the peritoneal surface -draws towards midline and obliterates the cul-de-sac

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5
Q

Risks with pessaries

A

Ulceration
Vaginal bleeding
Fistula formation
Ulceration with infection

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6
Q

Indications for surgery for PHVP

A

Symptoms
Response to conservative tx
QOL and daily activities
Comorbid state

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Week 21 POP (3 decks)

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