Bowel: Abdominal / Pelvic Surgical Approach

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BOARD 1
1. Anterior view: incision for exploratory laparotomy
2. Anterior view: thoracic, abdominal and pelvic viscera

BOARD 2
1. Surgical view: open laparoscopic technique, grasping peritoneum
2. Hasson trocar placed in abdomen under direct vision through incision
3. Anterior view: hasson trocar placed in abdomen

BOARD 3
1. Anterior view: female abdomen and pelvis post pregnancy with incision
2. Cross section abdominal wall and transverse colon
3-4. Surgical view of tenting preperitoneal tissue and incision
5-6. Surgical view of tenting peritoneum and incision

BOARD 4
1. Pfannenstiel incision
2. Dense adhesions on bowel to left lateral side wall
3. Adhesions on bowel taken down, surgical view into pelvis. Adhesions of left adnexa to left side wall
4. Total abdominal hysterectomy

BOARD 5
1. Pfannenstiel incision
2. Open Pfannenstiel incision revealing extensive adhesions and bilateral pathology of the ovaries

BOARD 6
1. Dense abdominal adhesions

BOARD 7
1. Sagittal view of female: cutaway of pelvis

BOARD 8
1. Placement of trocars for hysterectomy

BOARD 9
1. Exploratory laparoscopy of the abdomen

BOARD 10
1. Diagnostic laparoscopy 12/3/03: orientation view
2. Diagnostic laparoscopy 12/3/03: laparoscopic view

BOARD 11
1. Trocar placement

BOARD 12
1. Parasagittal section of pelvis
2 Manually pulling belly up, inserting CO2 with Veress needle
3. Instruments inserted into insufflated belly

BOARD 13
1. Sagittal view of lower abdomen and pelvis with laparoscopic instruments

BOARD 14
1. Parasagittal view: abdomen and pelvis with laparoscope
2. Laparoscopic view of female pelvis with adhesions
3. Laparoscopic view of lysis of adhesions