Surgeries for Benign Gynecologic Conditions
Compared with a midline vertical incision, attributes of the Pfannenstiel incision include which of the following?
Photograph contributed by Dr. Marlene Corton.
a. Inferior cosmetic results
b. Greater access to the upper abdomen
c. Fewer neurovascular structures encountered
d. Lower rates of subsequent incisional hernia
With wide transverse incisions, improper self-retaining retractor placement may lead to injury of which of the following nerves?
d. Lateral femoral cutaneous
The Pfannenstiel, Cherney, and Maylard incisions are abdominal incisions used for gynecologic procedures. The Maylard incision differs mainly from the Pfannenstiel and Cherney incisions in which of the following ways?
a. It is a transverse abdominal incision.
b. The tendons of the pyramidalis muscle are transected.
c. The tendons of the rectus abdominis muscle are transected.
d. The bellies of the rectus abdominis muscle are transected.
During oophorectomy, the infundibulopelvic ligament is isolated prior to clamping, transection, and ligation. This ideally averts injury to the structure shown in the second image beneath the arrow.
Photographs contributed by Dr. David Miller.
The images below illustrate which interval partial salpingectomy method?
Reproduced, with permission, from Hnat MD: Tubal ligation at the time of cesarean section (update). In Cunningham FG, Leveno KL, Bloom SL, et al (eds), Williams Obstetrics, 22nd ed. Online, New York, McGraw-Hill, 2006, http://www.accessmedicine.com, Figures 5 and 6.