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11 Cards in this Set
- Front
- Back
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what is a key indication for radical hysterectomy?
(objective) |
Cervical cancer
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at what stage can you no longer do surgery to treat cancer?
*** |
Stage IIB
too much other stuff involved |
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Major complication of radical hysterectomy?
Others? (objective) |
major: Ureters lose vascularization, innervation
others: Hydronephrosis Ureteral fistula Uroma formation Urinary ascites – BUN of peritoneal fluid on paracentesis |
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most common cause of C-hyst?
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Uncontrolled postpartum hemorrhage
Others: Uterine atony Placenta previa Placenta accreta, increta, percreta |
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For ovarian or uterine cancer, what is indicated?
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total abdominal hysterectomy (TAH)
BSO, RSO, LSO – bilateral, right, or left salpingo-opherectomy |
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Most common indication for Total Abdominal Hysterectomy?
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FIBROID
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Risks of Hysterectomy
which method has more risks: TAH (total abdominal hysterectomy) or TVH (total vaginal hysterectomy) |
Bleeding
Infection – Bacterial Vaginosis most common cause of cuff cellulitis Damage to bowel, bladder, ureter, blood vessels Death Risk of anesthesia All of these risks are greater with TAH (total abdominal hysterectomy) than TVH (total vaginal hysterectomy) |
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if you have the option, which would you rather use, TVH or TAH?
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TVH
Shorter operating time Shorter hospital stay No risk of hernia No abdominal incision Less pain Significantly lower risk of damage to ureters Opportunity to repair other defects |
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big diff btw general surgeons and gynecologists?
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The only thing that sets a gynecologist apart from a general surgeon is the ability to operate vaginally.
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For a pt who has a large uterus that requires surgery, what can you do pre-surgically to change the route from TAH to TVH?
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give Depo Lupron
will shrink the uterus |
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what is the key to curing endometriosis?
* |
GOTTA TAKE OUT THE OVARIES
Even leaving one ovary, even if the ovary looks normal, 30% will continue to have pain and require a second surgery for oopherectomy |
