By John E. Turrentine
This resource is a superb advent for the scientific scholar, intern, resident, and personal practitioner attempting to examine a brand new Ob/Gyn method. The sections on very important techniques educate find out how to practice the surgical procedure and the way it has to be transcribed for the clinical checklist. This revised, updated consultant may be crucial for Ob/Gyn surgeons for appearing universal, unusual, and new surgeries.
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Additional info for Surgical Transcriptions and Pearls in Obstetrics and Gynecology, Second Edition
Prior to all of this dissection, the infundibulopelvic ligaments bilaterally had been clamped, divided, and double ligated with ——— (0 Vicryl) sutures. The surgical specimen now consisted of uterus, tubes, ovaries, parametrium, paracolpium, vagina, and bladder. All of this was placed on the vertical upward traction and in the floor of the pelvis a sharp transverse incision went through the urethra and the lower third of the vagina, thus bringing the surgical specimen, which was handed off of the field.
A self-retaining retractor had been placed and the bowels had been packed away superiorly. The pelvic spaces were opened by first dividing the round ligaments bilaterally with an LDS CO2 power device. The peritoneum overlying the bladder was incised high to the anterior parietal peritoneum and then the peritoneum in this area was dissected down and freed off of the bladder surface so the peritoneum could be used for reconstruction of the pelvic floor later. The actual muscularis of the dome of the bladder was left to go with the surgical specimen to be extrapolated.
Firm traction on this suture pulled the posterior mucosal flap well into the newly made cervical canal and the suture was tied; the procedure was repeated on the anterior lip. Superficial electrocoagulation of the bleeding points in the cervical stroma was performed, followed by application of gelfoam sponge to necessary cervical defects. This was held in place with a vaginal pack that will be removed in approximately 24 hours. Hemostasis was judged to be excellent during the entire procedure. LASER CONIZATION OF CERVIX Technique The patient was placed on the Operating Room table in the lithotomy position and, following careful pelvic exam, the laser speculum was placed into the vagina and the cervix was swabbed thoroughly with 4% acetic acid solution.