Procedure Ready: Ob/Gyn

Before Your First: Hysterectomy

Listen Later

What approach: Abdominal, laparoscopic, vaginal or combination

Taking or leaving the tubes and ovaries?
Tubes: What benefit do they provide? Risk?
Ovaries: What benefit do ovaries provide? What about after menopause? Still have benefit for bones and cardiovascular health. 65yr old cut-off

If it’s laparoscopic–listen to the LSC podcast for more details on the approach

Let’s talk about important steps:

  1. The round ligament: What artery runs inside the round? Sampson’s.
  2. What structure conceals the blood flow to the ovary? The IP ligament (formerly the suspensory ligament of the ovary). The artery comes from the aorta, so if this is transected before it is fully sealed, it can hemorrhage while retracting back into the retroperitoneum. Badness!
  3. What are the four levels at which the ureter is injured during hysterectomy? 1- At the pelvic brim, 2- medial to the IP ligament, 3- as it passes under the uterine artery (water under the bridge) and 4- lateral to the vaginal cuff closure.
  4. Ligate and transect the uterine arteries–the uterus should blanch white.
  5. Colpotomy– disconnecting uterus from vagina
  6. Close vaginal cuff if total hyst
    7. ...more
    View all episodesView all episodes
    Download on the App Store
    Procedure Ready: Ob/GynBy Jennifer Doorey, MD, MS
    • 4.9
    • 4.9
    • 4.9
    • 4.9
    • 4.9

    4.9

    265 ratings

    More shows like Procedure Ready: Ob/Gyn

    View all
    My Favorite Murder with Karen Kilgariff and Georgia Hardstark by Exactly Right and iHeartPodcasts

    My Favorite Murder with Karen Kilgariff and Georgia Hardstark

    171,543 Listeners

    The Curbsiders Internal Medicine Podcast by The Curbsiders Internal Medicine Podcast

    The Curbsiders Internal Medicine Podcast

    3,316 Listeners

    The Daily by The New York Times

    The Daily

    110,567 Listeners

    Up First from NPR by NPR

    Up First from NPR

    55,899 Listeners

    Core IM | Internal Medicine Podcast by Core IM Team

    Core IM | Internal Medicine Podcast

    1,103 Listeners

    CREOGs Over Coffee by CREOGs Over Coffee

    CREOGs Over Coffee

    553 Listeners

    The Zero to Finals Medical Revision Podcast by Thomas Watchman

    The Zero to Finals Medical Revision Podcast

    136 Listeners

    Harrison's PodClass: Internal Medicine Cases and Board Prep by AccessMedicine

    Harrison's PodClass: Internal Medicine Cases and Board Prep

    350 Listeners

    Pregnancy & Birth Made Easy by My Essential Birth

    Pregnancy & Birth Made Easy

    715 Listeners

    » Divine Intervention Podcasts by Divine-Favour Anene

    » Divine Intervention Podcasts

    997 Listeners

    Down to Birth by Cynthia Overgard & Trisha Ludwig

    Down to Birth

    525 Listeners

    Physician Assistant in a Flash by Courtney Schock

    Physician Assistant in a Flash

    70 Listeners

    Clerkship Ready: Pediatrics by MedReady

    Clerkship Ready: Pediatrics

    21 Listeners

    Learning To Mom ™ Pregnancy and Newborn Life Podcast for First Time Moms, New Moms and Expecting Mothers by Laila | The best pregnancy podcast for first time moms! If you're looking for a natural pregnancy podcast, postpartum podcast, baby's first year podcast, birth podcast, podcast about birth, podcast about pregnancy, motherhood podcast, new mom podcast, ent

    Learning To Mom ™ Pregnancy and Newborn Life Podcast for First Time Moms, New Moms and Expecting Mothers

    190 Listeners

    The OB/GYN Resident Survival Guide by KC Miller

    The OB/GYN Resident Survival Guide

    9 Listeners