chapter 17

Fallopian Tubes location

in the mesosalpinx of the broad ligament

Fimbria (infundibulum)

Fingers like projections

Adnexa structures

Fallopian tubes, ovaries, infundibulum

Uterine ligament clamped first in abdominal hysterectomy/ last in vaginal?

Round ligament

Uterine ligament clamped first in vaginal hysterectomy/ last in abdominal?

Uterosacral ligament

Largest supporting uterine ligament?

Broad ligament

External vula

Mons pubis, labia majora, labia minora, clitoris, urinary orifice

Schillers test uses

Lugols solution

Lugols abnormal tissue color

No color change

Acetic acid abnormal tissue change

Abnormal tissue turns white

Instrument used for cervical biopsy

Tischler forceps

D&C used for

Endometrial biopsy, uterine bleeding

Oophorectomy & ovarian cystectomy

Removal of ovary or cyst

CA -125

Screens for ovarian carcinoma

Salpingectomy

Total removal of fallopian tubes

Endometrial ablation:

Balloon ablation

Destruction of uterine lining using hot dextrose water

Myomectomy

Removes fibroid tumors using resectoscope

Alternative to hysterectomy to treat chronic AUB

Uterine brachytherapy

Treats uterine/cervical cancer with radionuclide seeds

Manipulates fallopian tubes without damage

Babcock clamp

Grasps cervix in D&C

Tenaculum

CCCT

Clamp, clamp, cut, tie

Transcervical types

D&C, hysterscopy, resectoscope myomectomy

Transvaginal types

Colporrhaphy, bartholin gland removal

Transabdominal types

TAH, tubal ligation

Incisions

Pfannenstiel, Maylard, Cherney

Class ll

Uterine manipulator

Class lll/lV

Marsupialization

Transcervical hysterscopy

Treats polyps and myomas

Monitor for intravasation

Anterior Colporrhaphy

Repairs cystocele

Uses Allis -Adair

Posterior Colporrhaphy

Repairs rectocele

Uses Allis-Adair

Radical (Wertheim)

Removes uterus, tubes, ovaries, upper vagina, lymph nodes

Pelvis exenteration

En bloc removal of rectum, sigmoid colon, urinary bladder, distal ureters, ovaries, fallopian tubes, uterus, cervix, vagina, pelvic lymph nodes, and more

Permanent ileostomy and colostomy

Pelvic exenteration

Side for colostomy and ileostomy

Right- ileostomy

Left- colostomy