Technique

Question 1

Laparoscopic dissection by Puntambekar

Answer 1

Generous macro-movement along ureter and uterine artery

Window technique rarely

Question 2

What secures nerve sparing parametrectomy per Puntambekar?

Answer 2

Transection of deep uterine vein medially to hypo gastric nerves (also medically to the ureter)

Okabayashi/Fujii technique: transection laterally, but no dissection deeper than nerves

Question 3

Efficient way to put stent directly through bladder?

Answer 3

Have guide wire stick out 1 cm and advance guide wire and stent together

Advance it until the last mark on the stent and pull guidewire out

Question 4

“Cutting” barb suture with bipolar?

Answer 4

Put it on tension.

Grab very close to grasper and twist with ripping

Question 5

Myomectomy by CSAT surgeon?

Answer 5

Circumferential incision for subserosal fibroids approximately 1-2 cm above serosa level

Question 6

What to use for venous patch?
per Scavo

Answer 6

Bovine pericardial patch

Suture with 5-0 Prolene. Start Two needles from one apex, meet at the other one and tie

Trim distal part of the patch after some suturing.

ASA afterwards

Question 7

Arterial grafting

Answer 7

6 mm graft for femoral artery

Suture after spatulation

5-0 Prolene q 1-2 mm bites

Trim end after some suturing

Bleeding from needle spots will stop