Uterine Ligaments and Surgical Procedures
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Questions and Answers

Which of the following ligaments is NOT part of the CURB uterine ligaments?

  • Interligamentous ligament (correct)
  • Uterosacral ligament
  • Broad ligament
  • Cardinal ligament
  • What is the primary purpose of Dilation and Curettage (D & C)?

  • To flush the fallopian tubes
  • To remove the entire uterus
  • To perform a pelvic examination
  • To scrape the uterine lining (correct)
  • What should the pressure not exceed during closed pneumoperitoneum to minimize risk?

  • 20 mmHg
  • 16 mmHg (correct)
  • 12 mmHg
  • 18 mmHg
  • Which type of hysterectomy involves the removal of the uterus, cervix, ovaries, and fallopian tubes?

    <p>Radical Hysterectomy</p> Signup and view all the answers

    What factor is commonly associated with ovarian cancer that complicates early diagnosis?

    <p>Absence of early symptoms</p> Signup and view all the answers

    What is the volume range typically used for closed pneumoperitoneum?

    <p>2.5-4 L</p> Signup and view all the answers

    What is the primary purpose of endometrial ablation?

    <p>To reduce excessive bleeding</p> Signup and view all the answers

    Which of the following is a common complication of hyponatremia during certain procedures?

    <p>Bradycardia and hypotension</p> Signup and view all the answers

    What type of surgical procedure is described as a 'Radical Hysterectomy'?

    <p>Removal of multiple pelvic organs and lymph nodes</p> Signup and view all the answers

    Which ligaments are included in the CURB ligaments?

    <p>Cardinal, uterosacral, round, broad</p> Signup and view all the answers

    What is the characteristic of ovarian cancer that complicates early diagnosis?

    <p>Lack of early symptoms</p> Signup and view all the answers

    In which type of hysterectomy is the cervix removed alongside the uterus?

    <p>Total Abdominal Hysterectomy</p> Signup and view all the answers

    What is a common method for performing closed pneumoperitoneum?

    <p>Verres needle insertion</p> Signup and view all the answers

    Which of the following procedures involves the scraping of uterine lining?

    <p>Dilation and Curettage (D &amp; C)</p> Signup and view all the answers

    What does the term 'Vault Count' refer to in surgical procedures?

    <p>Opening between pelvis and vagina</p> Signup and view all the answers

    What does bilateral salpingo-oophorectomy (BSO) specifically involve?

    <p>Removal of the fallopian tubes and ovaries</p> Signup and view all the answers

    What is a significant risk if the pressure during closed pneumoperitoneum exceeds 16 mmHg?

    <p>Risk of gas embolism</p> Signup and view all the answers

    Which procedure is indicated for persistent carcinoma of the cervix?

    <p>Pelvic exenteration</p> Signup and view all the answers

    What type of procedure is a total abdominal hysterectomy?

    <p>Removal of the uterus and cervix</p> Signup and view all the answers

    What is one of the complications associated with hyponatremia during procedural considerations?

    <p>Hypertension followed by hypotension</p> Signup and view all the answers

    Which medium is required for endometrial ablation?

    <p>Non-electrolytic ionic medium</p> Signup and view all the answers

    What describes the purpose of dilatation and curettage (D & C)?

    <p>To scrape and remove uterine lining tissue</p> Signup and view all the answers

    What defines a radical hysterectomy?

    <p>Complete removal of the uterus, cervix, fallopian tubes, ovaries, and surrounding structures</p> Signup and view all the answers

    Which statement is true about ovarian cancer?

    <p>It often is diagnosed at a late stage due to vague symptoms</p> Signup and view all the answers

    What is the primary surgical technique used to create closed pneumoperitoneum?

    <p>Verres needle insertion</p> Signup and view all the answers

    Study Notes

    Uterine Ligaments

    • CURB ligaments include cardinal, uterosacral, round, and broad ligaments, crucial for uterine support.

    Dilation and Curettage (D&C)

    • Surgical procedure where the cervix is dilated for scraping the uterine lining with a curette.
    • Commonly used for treating heavy bleeding or clearing the uterine lining after miscarriage or abortion.

    Vault Count

    • Refers to the anatomical space created when the cervix is accessed or removed, leading to a connection between the pelvis and vagina.
    • Involves major and minor closing techniques post-procedure.

    Pneumoperitoneum

    • Closed pneumoperitoneum is established using a Verres needle.
    • Required volume is typically between 2.5 to 4 liters, with optimal pressure maintained between 14-16 mmHg to avoid gas embolism risks.

    Hysterectomy

    • Procedure for uterus removal, categorized as:
      • Vaginal: incision made through the vagina.
      • Abdominal: incision made in the abdomen.
      • Total Abdominal Hysterectomy: involves removal of uterus and cervix.
      • Partial/Subtotal: removal of uterus only.
      • Radical (Wertheim): comprehensive removal of uterus, cervix, fallopian tubes, ovaries, vagina, pelvis lymph nodes.

    Bilateral Salpingo-Oophorectomy (BSO)

    • Surgical procedure involving the removal of both fallopian tubes and ovaries.

    Endometrial Ablation

    • Technique for treating menorrhagia by burning away the endometrial lining.
    • Requires non-electrolytic ionic mediums such as Cystosol, Sorbitol, Mannitol, and Glycine.
    • Can also be performed using an Nd:YAG laser with a blanching and dragging method.
    • Monitoring of intake and output is critical to prevent complications like hyponatremia, which may present with symptoms such as bradycardia, hypertension followed by hypotension, nausea, and agitation.

    Ovarian Cancer

    • Known as a silent killer due to lack of early symptoms and vague signs at late stages.
    • Predominantly affects individuals aged 50-60.

    Pelvic Exenteration

    • Extensive surgical procedure involving removal of the rectum, distal sigmoid colon, urinary bladder, distal ureters, internal iliac vessels, and all pelvic reproductive organs.
    • Also includes removal of lymph nodes and the pelvic floor structures such as the levator muscles and perineum.
    • Indicated for persistent carcinoma of the cervix, especially after radiation therapy; can also occur in invasive rectal cancer.

    Uterine Ligaments

    • CURB ligaments include cardinal, uterosacral, round, and broad ligaments, crucial for uterine support.

    Dilation and Curettage (D&C)

    • Surgical procedure where the cervix is dilated for scraping the uterine lining with a curette.
    • Commonly used for treating heavy bleeding or clearing the uterine lining after miscarriage or abortion.

    Vault Count

    • Refers to the anatomical space created when the cervix is accessed or removed, leading to a connection between the pelvis and vagina.
    • Involves major and minor closing techniques post-procedure.

    Pneumoperitoneum

    • Closed pneumoperitoneum is established using a Verres needle.
    • Required volume is typically between 2.5 to 4 liters, with optimal pressure maintained between 14-16 mmHg to avoid gas embolism risks.

    Hysterectomy

    • Procedure for uterus removal, categorized as:
      • Vaginal: incision made through the vagina.
      • Abdominal: incision made in the abdomen.
      • Total Abdominal Hysterectomy: involves removal of uterus and cervix.
      • Partial/Subtotal: removal of uterus only.
      • Radical (Wertheim): comprehensive removal of uterus, cervix, fallopian tubes, ovaries, vagina, pelvis lymph nodes.

    Bilateral Salpingo-Oophorectomy (BSO)

    • Surgical procedure involving the removal of both fallopian tubes and ovaries.

    Endometrial Ablation

    • Technique for treating menorrhagia by burning away the endometrial lining.
    • Requires non-electrolytic ionic mediums such as Cystosol, Sorbitol, Mannitol, and Glycine.
    • Can also be performed using an Nd:YAG laser with a blanching and dragging method.
    • Monitoring of intake and output is critical to prevent complications like hyponatremia, which may present with symptoms such as bradycardia, hypertension followed by hypotension, nausea, and agitation.

    Ovarian Cancer

    • Known as a silent killer due to lack of early symptoms and vague signs at late stages.
    • Predominantly affects individuals aged 50-60.

    Pelvic Exenteration

    • Extensive surgical procedure involving removal of the rectum, distal sigmoid colon, urinary bladder, distal ureters, internal iliac vessels, and all pelvic reproductive organs.
    • Also includes removal of lymph nodes and the pelvic floor structures such as the levator muscles and perineum.
    • Indicated for persistent carcinoma of the cervix, especially after radiation therapy; can also occur in invasive rectal cancer.

    Uterine Ligaments

    • CURB ligaments include cardinal, uterosacral, round, and broad ligaments, crucial for uterine support.

    Dilation and Curettage (D&C)

    • Surgical procedure where the cervix is dilated for scraping the uterine lining with a curette.
    • Commonly used for treating heavy bleeding or clearing the uterine lining after miscarriage or abortion.

    Vault Count

    • Refers to the anatomical space created when the cervix is accessed or removed, leading to a connection between the pelvis and vagina.
    • Involves major and minor closing techniques post-procedure.

    Pneumoperitoneum

    • Closed pneumoperitoneum is established using a Verres needle.
    • Required volume is typically between 2.5 to 4 liters, with optimal pressure maintained between 14-16 mmHg to avoid gas embolism risks.

    Hysterectomy

    • Procedure for uterus removal, categorized as:
      • Vaginal: incision made through the vagina.
      • Abdominal: incision made in the abdomen.
      • Total Abdominal Hysterectomy: involves removal of uterus and cervix.
      • Partial/Subtotal: removal of uterus only.
      • Radical (Wertheim): comprehensive removal of uterus, cervix, fallopian tubes, ovaries, vagina, pelvis lymph nodes.

    Bilateral Salpingo-Oophorectomy (BSO)

    • Surgical procedure involving the removal of both fallopian tubes and ovaries.

    Endometrial Ablation

    • Technique for treating menorrhagia by burning away the endometrial lining.
    • Requires non-electrolytic ionic mediums such as Cystosol, Sorbitol, Mannitol, and Glycine.
    • Can also be performed using an Nd:YAG laser with a blanching and dragging method.
    • Monitoring of intake and output is critical to prevent complications like hyponatremia, which may present with symptoms such as bradycardia, hypertension followed by hypotension, nausea, and agitation.

    Ovarian Cancer

    • Known as a silent killer due to lack of early symptoms and vague signs at late stages.
    • Predominantly affects individuals aged 50-60.

    Pelvic Exenteration

    • Extensive surgical procedure involving removal of the rectum, distal sigmoid colon, urinary bladder, distal ureters, internal iliac vessels, and all pelvic reproductive organs.
    • Also includes removal of lymph nodes and the pelvic floor structures such as the levator muscles and perineum.
    • Indicated for persistent carcinoma of the cervix, especially after radiation therapy; can also occur in invasive rectal cancer.

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    Description

    Explore the essential concepts related to uterine ligaments, including cardinal, uterosacral, round, and broad ligaments. This quiz also covers the surgical procedure of Dilation and Curettage (D&C), explaining its purpose and process. Test your knowledge on these critical aspects of gynecological health.

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