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12 Cards in this Set
- Front
- Back
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What are the limits of dissection for a standard inguinal LND? |
superior= ext oblique fascia at level of spermatic cord
lateral= sagittal plane through ASIS medial= sagittal plan through I/L pubic tubercle inferior= transverse plane 20cm inferior to ASIS |
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What muscle may be needed to cover the femoral vessels after ILND? |
sartorius
to reduce the incidence of femoral vessel hemorrhage |
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How is a modified ILND different from standard?
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shorter skin incision
lateral limit= femoral artery inferior limit= fossa ovalis (no dissection distal to where saphenous v. penetrates fascia lata preservation of saphenous v. no sartorius flap |
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In what patients is a modified ILND performed?
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Those without palpable nodes
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How to fix extraperitoneal bladder rupture |
open bladder inspect from inside repair in one layer
(or foley catheter) |
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modified ILND |
medial to femoral a preservation saphenous v no sartorius m flap |
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where is neurovascular bundle in flank approach |
btw internal oblique + transversus abdominus beneath rib |
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how to gain bladder length with psoas hitch |
transect C/L superior vesical pedicle |
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procedure for 2cm ureteral stricture noted at time of UPJO repair |
spiral flap pyeloplasty |
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redundant pelvis if no redundancy |
ureterocalicostomy |
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1st muscle encountered with dorsal lumbotomy |
sacrospinalis |
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characteristics predisposing failure of endoureterotomy |
I/L kidney <25% fxn > 2cm stricture stricture 2/2 ischemia mid- ureteral stricture |
