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Surgeries for Benign Gynecologic Disorders

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What are some advantages of the vertical midline laparotomy incision?

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a. Minimal blood loss

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b. Access to the upper abdomen

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c. Easy wound extension if greater space or access is needed

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d. All of the above

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Which of the following incision types carries the greatest risk for fascial dehiscence, such as that shown here in the computed tomography image?

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a. Cherney

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b. Maylard

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c. Pfannenstiel

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d. Midline vertical

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When extending a vertical midline laparotomy incision cephalad, why is the incision typically arched to the left around the umbilicus?

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a. Improves cosmesis

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b. Avoids incising the ligamentum teres

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c. Decreases the risk of wound infection

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d. Decreases the risk of wound dehiscence

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Which of the following nerves may be damaged by allowing a self-retaining retractor blade to rest on the psoas major muscle?

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a. Sciatic nerve

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b. Femoral nerve

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c. Pudendal nerve

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d. Common fibular nerve

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Which nerve may commonly be injured when creating a low transverse laparotomy incision?

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a. Femoral nerve

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b. Pudendal nerve

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c. Genitofemoral nerve

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d. Iliohypogastric nerve

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Which artery is frequently encountered in the subcutaneous layer when creating a low transverse laparotomy incision?

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a. Inferior epigastric artery

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b. Deep circumflex iliac artery

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c. Superficial epigastric artery

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d. Deep circumflex femoral artery

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c...

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