Introduction to obstetrics gynecology
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Introduction to Obstetrics & Gynecology. Overview. Objectives. Match the terms r/t OB-GYN w/correct definitions Review female anatomy List purposes of OB-GYN surgery Discuss types of abortions Match common GYN complications with correct definitions

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Presentation Transcript

Objectives l.jpg
Objectives

  • Match the terms r/t OB-GYN w/correct definitions

  • Review female anatomy

  • List purposes of OB-GYN surgery

  • Discuss types of abortions

  • Match common GYN complications with correct definitions

  • Match diagnostic techniques w/correct definitions

  • Match abdominal procedures w/correct descriptions

  • Define and discuss vaginal procedures

  • Explain applications of lasers in GYN surgery


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Objectives

  • Match the types of genital fistulas w/correct illustrations

  • Select true statements r/t special features of OB/GYN surgery

  • Match basic OB-GYN medications and solutions w/their uses

  • Identify specialized instruments for OB/GYN surgery

  • Discuss the steps of a D & C


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Carcinoma in Situ

Cervical

Chromotubation

Conization

Cystocele

Dilatation

Dysplasia

Endometriosis

Enterocele

Episiotomy

Fibroma

GIFT

Insufflation

Marsupilization

Myoma

Pneumoperitoneum

Presentation

Rectocele

Stress Incontinence

Vaginal Vault

OB-GYN Terms




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Anatomy: External Genitalia

  • Vagina

  • Uterus

    • Cervix

  • Fallopian tubes/ovaries

  • External genitalia



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Support of Female Pelvis


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Uterus, Fallopian Tubes, Ovaries

  • Hollow, thick-walled

  • Situated between bladder and rectum

  • Lined with endometrium

  • Ligaments suspend the uterus



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Why OB-GYN Surgery?

  • Dx abnormal symptoms

  • Tx abnormal conditions

  • Relieve pain

  • Electively prevent pregnancy

  • Assist infertile couples to conceive

  • Prevent Spontaneous abortion w/structural defects

  • Abdominally deliver an infant when vaginal delivery is contraindicated or not possible


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Types of Abortions

  • Missed

  • Incomplete

  • Imminent

  • Spontaneous

  • Voluntary Interrupted


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Common OB Complications

  • Dystocia

  • Placenta Previa

  • Abruptio Placenta

  • CPD

  • Abnormal presentations

    • Breech, Transverse, Footling, Vertex

  • Incompetent cervical os

  • Infertility

  • Ectopic pregnancy


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Common GYN Complications

  • Menstrual abnormalities

    • Amenorrhea, dysmenorrhea, menorrhagia, metrorrhagia

  • Lesions

  • Weakened musculature

  • STDs


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Colposcopy

Colpotomy

Conization of Cervix

Culdocentesis

Culdoscopy

Hysterpsalpingography

Hysteroscopy

PAP smear Punch Biopsy

Rubin’s test

Schiller’s test

Uterine curettage

Diagnostics


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Abdominal Procedures

  • Abdominal Hysterectomy

  • Cesarean Section

  • Laparoscopy

  • MMK Suspension

  • Microscopic Reconstructive

    Surgery of Fallopian Tubes

  • Myomectomy

  • Oophorectomy

  • Oophorocystectomy

  • Pelvic Exenteration

  • Salpingectomy/Salpingostomy

  • Tubal ligation



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Vaginal Procedures

  • Anterior & Posterior repair

  • Conization of cervix

  • Dilatation & Curettage

  • Hysteroscopy

  • LAVH

  • Colpocleisis

  • Marsupilization of Bartholin’ s duct cyst

  • Repair of fistula

  • Shirodkar or MacDonald cerclage

  • Simple vulvectomy

  • Suction curettage

  • Trachelorrhaphy

  • Vaginal Hysterectomy


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Lasers in GYN

  • Most commonly used: Argon, CO2, Nd: YAG

  • Applications

    • Ablation

    • Eradication

    • Endometrial ablation

    • Transecting uterine ligaments & controlling bleeding


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Genital Fistulas

  • Vesicovaginal

  • Ureterovaginal

  • Urethrovaginal

  • Rectovaginal


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Special Features

  • Typically pt is catheterized

  • General or spinal

  • Important: antiembolic devices, ambulation

  • Drains

  • Lithotomy/Vaginal

  • Vaginal: Long instruments

  • Vaginal procedures: sponges/medicated packing

  • Use of catheters: ID of ureters

  • Order of procedures: vag/abd

  • Separate set-ups

  • Special equipment


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Medications & Solutions

  • Oxytocics

  • Lugol’s solution

  • Acetic Acid 3 %

  • Anti-infective creams

  • Methylene blue

  • Solutions for hysteroscopic exams

  • Solutions for laser & cautery


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Specialized Instruments

  • Abdominal Hysterectomy

  • Vaginal

  • Laparoscopic

  • Obstetrical

  • Adaptations for vag hyst

  • Adaptations for LAVH



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D & C Procedure Summary

  • Lithotomy position

  • Insert Weighted speculum

  • Grasp cervix w/ Tenaculum

  • Dilation using Graduated sound into cervix: depth & direction

  • Curette of choice for Endocervical curettings specimen

  • Endometrial curettings

  • Dilation using Hegar or Hanks uterine dilators

  • Curettings: Telfa strip for specimen

  • Dressing: perineal pad


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Labor & Delivery Stages

  • Stage one: onset of labor

  • Stage two: complete dilatation of cervix

  • Stage three: birth of the infant

  • Stage four: after placenta is delivered


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Objectives

  • Match the terms r/t OB-GYN w/correct definitions

  • List purposes of OB-GYN surgery

  • Discuss types of abortions

  • Match common GYN complications with correct definitions

  • Match diagnostic techniques w/correct definitions

  • Match abdominal procedures w/correct descriptions

  • Define and discuss vaginal procedures

  • Explain applications of lasers in GYN surgery

  • Match the types of genital fistulas w/correct illustrations


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