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Surgical Evacuation of Retained Placental Tissue

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Questions and Answers

What is the name of the suture technique that requires hysterotomy for its insertion and is suitable when the uterus is opened for cesarean section?

Bilateral internal iliac ligation
Selective arterial occlusion
Hemostatic brace suture (correct)
Stepwise uterine devascularisation

What is the next step in the stepwise uterine devascularisation procedure after ligating one uterine artery?

Selective arterial occlusion
Ligating both uterine arteries (correct)
Ligating one ovarian artery
Ligating both ovarian arteries

What is an alternative to bilateral internal iliac ligation in the management of postpartum hemorrhage?

Hysterectomy
Cesarean delivery
Embolization
Selective arterial occlusion (correct)

In what cases is it recommended to resort to hysterectomy sooner rather than later?

In cases of placenta accreta or uterine rupture (C) Signup and view all the answers

What is the definition of secondary PPH?

Abnormal or excessive bleeding from the birth canal between 24 hours and 12 weeks postnatally (B) Signup and view all the answers

What is the recommended approach in decision-making for hysterectomy?

Involve a second experienced clinician in the decision (D) Signup and view all the answers

What is the relation between cesarean delivery and failed embolization?

Cesarean delivery is related to failed embolization (A) Signup and view all the answers

What is the stepwise uterine devascularisation procedure used for?

Management of postpartum hemorrhage (A) Signup and view all the answers

What is the purpose of bilateral internal iliac ligation?

To manage postpartum hemorrhage (A) Signup and view all the answers

What is the recommended approach in cases of failed embolization?

Resort to hysterectomy sooner rather than later (D) Signup and view all the answers

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