Surgical TOGs Flashcards
1
Q
Temperature for coagulation and dissection
A
60-80C
2
Q
Temp for ablation
A
100C
3
Q
Temp for carbonisation
A
> 100
4
Q
Pneumonic for endometriosis surgery
A
Survey/sigmoid mobilization
Ovarian mobilization
Suspension of ovary/uterus
Uretrolysis
Rectovaginal space
Excision of endo
5
Q
Appendicitis in preg, miscarriage risk
A
- 1.5% simple appendicitis
- 6% w peritonitis
- 36% w rupture
6
Q
Limit of deficit of fluid for hysteroscopy
A
2500ml for isotonic
1000ml for hypotonic
7
Q
How frequent is the air exchange in theatre?
A
15 x per hour
8
Q
When to stop warfarin before surgery
A
- 5 days
- Check INR day before and day of surgery
- If >1.5, give phytomenadione (vitK)
9
Q
When to stop apixaban pre-surgery
A
- 48h if Crcl >30
- 72h if Crcl<30
10
Q
% of lap injury at entry
A
- 75%
11
Q
When to change entry method
A
- if 2 x failed umbilical veress entry
12
Q
% adhesions from prev surgery
A
- Prev lap- 1.6%
- Prev transverse incision - 19.8%
- Prev midline- 52%
13
Q
Most common vascular injury at laparoscopy
A
- laceration of theinferior epigastric artery during placement of lateral trocars
14
Q
Hysterectomy abx
A
- Cefuroxime + metronidazole iv or
- Gentamicin + metronidazole iv or
- Co-amoxiclav iv
15
Q
Abx half life
A
- Cefuroxime- 1h
- Gentamicin- 2-3h
- Vancomycin 4-6h
- Metronidazole 8h
- Teicoplanin 100h
