Female: Hysterectomy
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BOARD 1
1. Normal anatomy of female reproductive system
2. Superior view: normal anatomy of female pelvis
BOARD 2
1. Sagittal view: normal female pelvic anatomy
BOARD 3
1. Sagittal view: female pelvic anatomy: post-hysterectomy
BOARD 4
1. Sagittal view: female pelvic anatomy post-hysterectomy: showing vaginal cuff
2. Detail: sagittal view of vagina (uterus removed)
BOARD 5
1. Sagittal view: female pelvic anatomy post-hysterectomy: showing vaginal cuff
2. Detail: sagittal view of vagina (uterus removed)
BOARD 6
1. Sagittal view: cutaway of female pelvis with small bowel
BOARD 7
1. Sagittal view: cutaway of female pelvis; adhesions with small bowel
BOARD 8
1. Sagittal view: cutaway of female pelvis: adhesions with small bowel: post-hysterectomy
BOARD 9
1. Sagittal view: cutaway of female pelvis
BOARD 10
1. Sagittal view: cutaway of female pelvis: adhesions with ovary: post-hysterectomy
BOARD 11
1. Sagittal view: normal anatomy of female pelvis
BOARD 12
1. Sagittal view: anatomy of female pelvis; post-hysterectomy
BOARD 13
1. Orientation: female pelvic anatomy post-hysterectomy
2. Detail: sagittal view of vagina: post-hysterectomy
BOARD 14
1. Sagittal view: female pelvic anatomy post-hysterectomy with vaginal cuff abscess
2. Orientation: midline incision
3. Ruptured abscess
BOARD 15
1. Pfannenstiel incision
2. Open Pfannenstiel incision revealing extensive adhesions and bilateral pathology of the ovaries
BOARD 16
1. Superior view: adhesions over female pelvic anatomy
BOARD 17
1. Superior view: normal female pelvic anatomy
BOARD 18
1. Superior view: left salpingo-oophorectomy procedure
BOARD 19
1. Anterior view: Pfannenstiel incision
2. Sagittal view: female pelvis with adhesions from omentum to fundus of uterus
3. Surgical view: adhesions taken down to expose uterus, fallopian tubes and ovaries
4. Surgical view: total hysterectomy and salpingo-oophorectomy
BOARD 20
1. Sagittal view: pre-op
2. Surgical view: uterus is retroflexed
3. Total abdominal hysterectomy
BOARD 21
1. Orientation view
2. Surgical view: female pelvis
3. Surgical view: total abdominal hysterectomy and salpingo-oophorectomy
BOARD 22
1. Anterior view: hysterectomy incision
2. Surgical view: adhesions of bowel to pelvis
3. Surgical view: hysterectomy and salpingo-oophorectomy
BOARD 23
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 24
1. Adhesions obscuring the left ovary and fallopian tube
2. Adhesions have been dissected away and peritoneum opened
3. Left ovary and fallopian tube removed
BOARD 25
1. Trendelenburg position
BOARD 26
1. Orientation view
2. Surgical view of female pelvis
BOARD 27
1. Surgical view of female pelvis
BOARD 28
1. Surgical view after hysterectomy
2. Detail: lymph nodes clipped and removed
BOARD 29
1. Orientation view: surgical assistant's view of surgery during suturing of vaginal cuff and bleeders
2. Detail of suturing
3. Surgeon’s view of surgery during suturing of vaginal cuff and bleeders
BOARD 30
1. Surgical assistant’s view of surgery
2. Orientation view
BOARD 31
1. Axial view: setup of operating room
BOARD 32
1. Superior view: camera and cannula punctures on patient
BOARD 33
1. Anterior view; dense abdominal adhesions
BOARD 34
1. Placement of trocars for hysterectomy
BOARD 35
1. Orientation view: diagnostic laparoscopy
2. Diagnostic laparoscopy: laparoscopic view
BOARD 36
1. Pelviscopy
BOARD 37
1. Sagittal view: lower abdomen and pelvis with laparoscopic instruments
BOARD 38
1-3. The colon
4. Parasagittal view: lower abdomen and pelvis with laparoscopic instruments
BOARD 39
1. Parasagittal section of pelvis
2. Inserting CO2 with Veress needle
3. Instruments inserted into insufflated belly
BOARD 40
1. Veress needle inserted, while abdomen lifted with towel clips
2. Laparscope inserted
3. Trendelenburg position: trocars inserted through laparoscope
BOARD 41
1. Orientation view: laparoscope and anatomy
2. Normal anatomy of female pelvis: laparoscopic view
BOARD 42
1. Orientation view: laparoscope and anatomy
2. Normal anatomy of female pelvis: laparoscopic view
BOARD 43
1. Orientation view: laparoscope and anatomy
2. Normal anatomy of female pelvis: laparoscopic view
3. Hysterectomy: laparoscopic view of female pelvis
BOARD 44
1. Orientation view: laparoscope and anatomy
2. Normal anatomy of female pelvis; laparoscopic view
3. Hysterectomy and Salpingo-oophorectomy: laparoscopic view of female pelvis
BOARD 45
1. Orentation view: laparoscope and gravid uterus
2. Laparoscopic view of female pelvis with gravid uterus
3. Laparoscopic view of hysterectomy
BOARD 46
1. Orientation view: laparoscope: post-hysterectomy
2. Laparascopic view of female pelvis: post-hysterectomy
BOARD 47
1. Orientation view: laparoscope; post-hysterectomy
2. Laparoscopic view: post-hysterectomy
BOARD 48
1. Parasagittal view: abdomen and pelvis with laparoscope
2. Laparoscopic view of female pelvis with adhesions
3. Laparoscopic view of lysis of adhesions
BOARD 49
1. Parasagittal view: abdomen and pelvis with laparoscope
2. Laparoscopic view of female pelvis with adhesions (uterus removed)
3. Laparoscopic view of lysis of adhesions (uterus removed)
BOARD 50
1. Actual introperative photo of relationship of uterus and sigmoid colon
2. Illustration based on photo
BOARD 51
1. Example photo of laparoscopic view of female pelvis
2. Illustration based on photo with ligated fallopian tubes and adhesions
BOARD 52
1. Anterior view: intra-operative anatomy during vaginal hysterectomy
2. Detail: bowel packed aside with laparotomy sponge, access to right ovary during vaginal hysterectomy
BOARD 53
1. Surgical view: vaginal hysterectomy
2. Sagittal view: vaginal hysterectomy
BOARD 54
1. Surgical view: vaginal hysterectomy
2. Sagittal view: vaginal hysterectomy (pulling uterus out)
BOARD 55
1. Surgical view: bowel seen through vagina
2. Surgical view: bowel packed with lap sponge
BOARD 56
1-7. Vaginal hysterectomy
BOARD 57
1-6. Vaginal hysterectomy and suture