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Surgeries for Benign Gynecologic Conditions

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Compared with a midline vertical incision, attributes of the Pfannenstiel incision include which of the following?

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Photograph contributed by Dr. Marlene Corton.

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a. Inferior cosmetic results

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b. Greater access to the upper abdomen

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c. Fewer neurovascular structures encountered

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d. Lower rates of subsequent incisional hernia

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With wide transverse incisions, improper self-retaining retractor placement may lead to injury of which of the following nerves?

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a. Femoral

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b. Pudendal

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c. Obturator

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d. Lateral femoral cutaneous

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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?

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a. It is a transverse abdominal incision.

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b. The tendons of the pyramidalis muscle are transected.

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c. The tendons of the rectus abdominis muscle are transected.

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d. The bellies of the rectus abdominis muscle are transected.

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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.

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Photographs contributed by Dr. David Miller.

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a. Ureter

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b. Uterine artery

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c. Obturator nerve

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d. Genitofemoral nerve

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The images below illustrate which interval partial salpingectomy method?

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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.

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a. Uchida

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b. Irving

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