By John E. Turrentine

This resource is a wonderful creation for the scientific scholar, intern, resident, and personal practitioner attempting to study a brand new Ob/Gyn approach. The sections on very important systems train the way to practice the surgical procedure and the way it should be transcribed for the clinical list. This revised, up to date advisor could be crucial for Ob/Gyn surgeons for appearing universal, unusual, and new surgeries.

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Extra info for Surgical Transcriptions and Pearls in Obstetrics and Gynecology, Second Edition

Example text

A Foley catheter was inserted into the bladder and noted to return clear urine. The findings of examination under anesthesia are as dictated above. The patient was placed supine and prepped and draped in a sterile fashion. The abdomen was entered through a midline incision, extending up just to the left of the umbilicus. Exploration was carried out; all of the upper abdominal viscera were normal to palpation. There was no adenopathy appreciated. e. a tumor in the vesicovaginal septum. The aortic nodes were negative for metastatic disease; therefore, it was felt advisable to proceed with anterior pelvic exenteration, which was accomplished as follows.

The patient was placed supine and prepped and draped in a sterile fashion. The abdomen was entered through a midline incision, extending up just to the left of the umbilicus. Exploration was carried out; all of the upper abdominal viscera were normal to palpation. There was no adenopathy appreciated. e. a tumor in the vesicovaginal septum. The aortic nodes were negative for metastatic disease; therefore, it was felt advisable to proceed with anterior pelvic exenteration, which was accomplished as follows.

Anesthesia is most often spinal or epidural. Make deep enough bites to reinforce but not so deep to rupture the membranes or injure the bladder. During the Shirodkar cerclage, many physicians have started tying their knots posteriorly to avoid erosion into the bladder. However, during McDonald’s cerclage, leave the knot in the anterior position to facilitate removal. The McDonald’s cerclage is the most common. The author performs a double cerclage (using two sutures and two knots) to strengthen and improve the results.

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