Term
| What does TAH/BSO stand for? |
|
Definition
| Total abdominal hysterectomy, bilateral salpingo-oopherectomy |
|
|
Term
| Name the first 5 steps of TAH/BSO |
|
Definition
1. Pfannenstiel incision is made (#10 blade)
2. Fascial is incised (Kochers)
3. Peritoneum is incisedÂ
4. Retractors are placed (O'Sullivan-O'Connor)
5. Dissection of ligaments - (clamp, clamp, cut, tie) |
|
|
Term
|
Definition
1. RoundÂ
2. Broad
3. Cardinal
4. Uterosacral |
|
|
Term
| What are the next 5 steps of TAH/BSO? |
|
Definition
6. Cerivx is incised (long knife handle, #10 blade)
7. Vagina is incised (Long Kochers, Long Allis)
8. Reattach bladder flap
9. Irrigation
10. Closing the wound |
|
|
Term
| How many counts are involved in a TAH/BSO? |
|
Definition
4
Beginning
peritoneum is closed
Fascia is closed
skin is closed |
|
|
Term
| What type of wound class is a TAH/BSO and why? |
|
Definition
A TAH/BSO is a wound class II. Because it is a clean/dirty procedure |
|
|
Term
| What type and how many specimens are required in a TAH/BSO? |
|
Definition
5 specimens
Uterus
bilateral fallopian tubes
cervix
ovaries |
|
|
Term
| What are complications associated with a TAH/BSO? |
|
Definition
|
|
Term
| What is the patients positioning for TAH/BSO? |
|
Definition
Supine
Frog leg for vaginal prep and Foley catheter |
|
|
Term
| What instruments are needed for a TAH/BSO? |
|
Definition
Major instrument tray
#10 blade, #3 handle (long and short)
Hypo, syringe
Hemostat, ESU
Retractors: O'Sul-O'Con, Wet lap sponges
Kocher
Allis clamps
Babcock
Suture: Vicryl, ligasure/enseal
Staple
4x4 telfa |
|
|
