Vaginal delivery

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H Vaginal delivery 1. Preoperative assessment     See the discussion of C-section earlier in this section. 2. Patient preparation a) All patients should have an IV catheter 18 gauge or larger placed and should…

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Pelvic exenteration

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G Pelvic exenteration 1. Introduction     Pelvic exenteration is performed for the treatment of advanced, recurrent, radioresistant cervical carcinoma. It is considered a radical surgical approach because all pelvic tissues, including the…

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Loop electrosurgical excision procedure

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F Loop electrosurgical excision procedure 1. Introduction     The loop electrosurgical excision procedure is performed for the diagnosis and treatment of cervical intraepithelial neoplasia. This form of electrosurgery uses a loop electrode…

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Hysterectomy: Vaginal or total abdominal

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E Hysterectomy: Vaginal or total abdominal 1. Introduction     Hysterectomy is commonly performed to treat uncontrolled uterine bleeding, dysmenorrhea, uterine myoma, gynecologic cancer, adhesions, endometriosis, and pelvic relaxation syndrome. Frequently, laparoscopy is…

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Gynecologic laparoscopy

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D Gynecologic laparoscopy 1. Introduction     Laparoscopy is a common endoscopic technique in gynecologic procedures. It is frequently used to diagnose or treat pelvic conditions that may include sterilization, adhesions, pain, endometriosis,…

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Cesarean section

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B Cesarean section 1. Introduction     A cesarean section (C-section) is the surgical removal of a fetus through an abdominal and uterine incision. A low transverse incision is the most common; in…

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Dilatation and curettage

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C Dilatation and curettage 1. Introduction     Dilatation and curettage (D & C) involves dilation of the cervix and scraping of the endometrial lining of the uterus. The procedure is done to…

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Assisted reproductive technologies

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A Assisted reproductive technologies 1. Introduction a) Procedure overview     Assisted reproductive technologies (ARTs) refers to all techniques used to retrieve and fertilize human oocytes. In vitro fertilization (IVF) is the most common…

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Thoracic and lumbar spinal instrumentation and fusion

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D Thoracic and lumbar spinal instrumentation and fusion 1. Introduction     Anterolateral, posterior, or combined anteroposterior approaches can be used to treat pathologic processes of the thoracic and lumbar spine. Spinal instrumentation…

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Lumbar laminectomy or fusion

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B Lumbar laminectomy or fusion 1. Introduction     Lumbar laminectomy is most commonly performed for symptomatic nerve root or spinal cord compression. Compression may occur from protrusion of an intervertebral disk or…

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