Operative Obstetrics — Flashcards

Flashcard 21: Low uterine horizontal curvilinear incision in LSCS is known as _____ incision

Answer: Kerr

Flashcard 22: Which method of tubal ligation involves crushing a loop of the fallopian tube at its base and ligating it with a non-absorbable suture without excision of the loop?

Answer: Madlener method

Extra: The Madlener method involves lifting a loop of the fallopian tube, crushing the base of the loop with a clamp, and then ligating the crushed area with non-absorbable suture. Unlike the Pomeroy method, no tissue is excised. It is associated with a higher failure rate (approx 1-7%) due to the potential for fistula formation and recanalization.

Flashcard 23: Which metroplasty technique is recommended in nulligravida women, especially in those with cervical canal stenosis?_____

Answer: Versapoint

Flashcard 24: Definitive mx of incomplete abortion before 12 weeks is _____ followed by curettage

Answer: dilatation and evacuation

Flashcard 25: In fractional curettage, the _____ is curetted prior to cervical dilation

Answer: endocervix

Flashcard 26: Management of 2nd twin with the transverse lie is _____

Answer: Internal podalic version.

Flashcard 27: Which method of tubal ligation involves creating a loop of the fallopian tube, ligating the base of the loop with absorbable suture, and then excising the loop?

Answer: Pomeroy's method

Extra: Pomeroy's method is the most commonly used technique for tubal sterilization. The use of absorbable suture (like plain catgut) is key; as the suture is absorbed, the two ends of the tube pull apart and seal over, which minimizes the risk of recanalization or fistula formation.

Flashcard 28: Which muscles are cut in a mediolateral episiotomy?

Answer: 1. Bulbospongiosus 2. Superficial transverse perineal 3. Levator ani (medial fibers of Pubococcygeus)

Flashcard 29: MVA creates a negative pressure of _____ Hg

Answer: 660mm

Flashcard 30: The aftercoming head of breech can be delivered using _____ incision on the cervix

Answer: Duhrssen's