Ectopic Pregnancy

Dec 27, 2018 by in OBSTETRICS Comments Off on Ectopic Pregnancy

INTRODUCTION Print Section Listen An ectopic or extrauterine pregnancy is one in which the blastocyst implants anywhere other than the endometrial lining of the uterine cavity. As such, they account…

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Gestational Trophoblastic Disease

Dec 27, 2018 by in OBSTETRICS Comments Off on Gestational Trophoblastic Disease

INTRODUCTION Print Section Listen Gestational trophoblastic disease (GTD) refers to a spectrum of interrelated but histologically distinct tumors originating from the placenta (Table 10-1). These diseases are characterized by a…

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Treatment of Lower Genital Tract Infections

Dec 27, 2018 by in OBSTETRICS Comments Off on Treatment of Lower Genital Tract Infections

INTRODUCTION Print Section Listen In pregnancy, bacterial and viral lower genital tract infections are common and generally managed medically. Sexually transmitted diseases (STDs) such as gonorrhea, trichomoniasis, and chlamydial infection…

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Surgical Instruments

Dec 27, 2018 by in OBSTETRICS Comments Off on Surgical Instruments

INSTRUMENTS Print Section Listen Surgical instruments are designed to extend the capability of a surgeon’s hands and thus are crafted to retract, cut, grasp, and clear the operative field. Tissue…

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Perioperative Imaging

Dec 27, 2018 by in OBSTETRICS Comments Off on Perioperative Imaging

IMAGING TECHNIQUES Print Section Listen Imaging modalities that are used as adjuncts for diagnosis and therapy during pregnancy include sonography, radiography, and magnetic resonance (MR) imaging. Given rapid changes in…

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Incisions and Closures

Dec 27, 2018 by in OBSTETRICS Comments Off on Incisions and Closures

INTRODUCTION Print Section Listen For the obstetric patient, several factors influence the surgeon’s choice of abdominal incision and closure. Patient elements include the surgical indication, the urgency for operative intervention,…

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Anatomy

Dec 27, 2018 by in OBSTETRICS Comments Off on Anatomy

INTRODUCTION Print Section Listen A thorough understanding of pelvic, perineal, and anterior abdominal wall anatomy is essential for obstetric practice and surgery. Although anatomic consistencies can be expected, marked variation…

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Needles, Sutures, and Knots

Dec 27, 2018 by in OBSTETRICS Comments Off on Needles, Sutures, and Knots

INTRODUCTION Print Section Listen Mastering the use of needles, sutures, and instruments, as well as the technique of knot tying, is the technical foundation of the surgeon’s craft. A bewildering…

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Critical Illness in Pregnancy

Dec 27, 2018 by in OBSTETRICS Comments Off on Critical Illness in Pregnancy

INTRODUCTION Print Section Listen Critical illness in pregnancy is relatively rare. Current studies estimate the incidence of intensive care unit (ICU) admissions in pregnancy and the puerperium to range between…

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Clinical Simulation

Dec 27, 2018 by in OBSTETRICS Comments Off on Clinical Simulation

INTRODUCTION Print Section Listen Simulation is the imitation or representation of one act or system by another. According to the Society for Simulation in Healthcare (2015), simulation in medicine has…

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