Obgyn Key

INTRODUCTION Print Section Listen During pregnancy, several conditions may necessitate operative procedures on the vulva, vagina, or cervix. Of surgeries, cervical cerclage is one of the more common. Other procedures…

INTRODUCTION Print Section Listen Invasive prenatal diagnosis allows vital details to be obtained regarding the fetus that can include genetic, biochemical, or physiologic data. This chapter describes amniocentesis, chorionic villus…

INTRODUCTION Print Section Listen Although surgical methods of abortion have changed little in the past 50 years, the expanding interest in pharmacologic agents has both increased reproductive options and broadened…

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…

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…

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…

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…

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…

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,…

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…