Uterine artery ligation

Slides:

Advertisements

Similar presentations

One suggested algorithm for evaluation of a woman with a suspected ectopic pregnancy. aExpectant management, D&C, or medical regimens are suitable options.

Advertisements

Assembly of a pelvic pressure pack to control hemorrhage

Source: Saseen JJ, MacLaughlin EJ. Hypertension

Life cycle of microsporidia

Middle cerebral artery Dopplers to screen for fetal anemia

The “mickey mouse” sign is made up of the three portal structures

Corneal filaments in a 56-year-old patient with dry eye syndrome.

Retinal photographs from a 30-year-old diabetic woman. A

Retinal photographs from a 30-year-old diabetic woman. A

[C from: Markowitz SK, Ziter FHM: The lateral chest film and pneumoperitoneum. Ann Emerg Med 1986;15:425–427, with permission.] Source: Chapter II-3. Pneumoperitoneum,

Transection of the utero-ovarian ligament

Late decelerations due to uteroplacental insufficiency resulting from placental abruption. Immediate cesarean delivery was performed. Umbilical artery.

Insertion of the Mirena intrauterine system

The myometrium is incised carefully to avoid cutting the fetal head

Fetal abdominal dystocia at 28 weeks caused by an immensely distended bladder. Delivery was made possible by expression of fluid through a bladder perforation.

Recording of fetal heart rate and uterine activity

Diagnostic approach: Dizziness.

1. First-degree perineal laceration: injury to only the vaginal epithelium or perineal skin. 2. Second-degree laceration: injury to perineum that spares.

Pathogenesis of bone diseases in chronic kidney disease

Enterocele and prolapsed uterus

Enterocele and prolapsed uterus

Reproduced with permission from Chang JB, Stein TA

Treatment approaches for Crohn disease. (Adapted from Hemstreet BA

A. ST segment changes in normal and hypoxic conditions. B

Diurnal changes in plasma glucose and insulin in normal late pregnancy

Anencephaly/acrania. A. Acrania

Pyogenic granuloma is characterized grossly by a lobulated red growth on a pedunculated or sessile base. (Photograph contributed by Dr. Abel Moron.) Source:

Intrauterine devices (IUDs). A. ParaGard T 380A copper IUD. B

M-mode, or motion mode, is a linear display of the events of the cardiac cycle, with time on the x-axis and motion on the y-axis. M-mode is used commonly.

Vane anemometer. (Reproduced with permission from Morgan GE, Mikhail MS, Murray MJ. Clinical Anesthesiology. 4th ed. New York, NY: McGraw-Hill; Figure.

A. The medial collateral ligament (MCL) prevents valgus deformities. B

Pathways of labor pain. Pain stimuli from the cervix and uterus travel through the paracervical region and the pelvic and hypogastric plexus to enter the.

Incidence of antithyroid peroxidase antibodies in women who are euthyroid; in those with isolated maternal hypothyroxinemia (IMH), defined by a normal.

Schematic representation of the hypothesized pathway between maternal or intrauterine infection and preterm birth or periventricular leukomalacia. Both.

Nexplanon insertion. A sterile pen marks the insertion site, which is 8 to 10 cm proximal to the medial humeral condyle. A second mark is placed 4 cm proximally.

(Figure 1–12c, with permission, from Dr Moise Bendayan, Departments of Pathology and Cell Biology, University of Montreal, Montreal, Canada.) Source: Chapter.

Umbilical artery catheter insertion. (A) Artery dilation

Manual removal of placenta. A. One hand grasps the fundus

Manual removal of placenta. A

(a) The diagram shows the internal organs of the female reproductive system, which includes as the principal organs the ovaries, uterine tubes, uterus,

Source: Chapter 23. Urinary Incontinence, Williams Gynecology, 2e

Schematic representation of the main divisions of the respiratory tract. (Reproduced, with permission, from Junqueira LC, Carneiro J: Basic Histology:

(Reproduced with permission from Lau TL, Kim C, Ginsberg MH, et al

Peritoneal incision overlying the sacrum.

In diastolic dysfunction, the diastolic pressure-volume relationship is shifted upward and to the left (dashed line), which leads to an elevated left ventricular.

[From Pansky B: Review of Gross Anatomy, 6th ed

Reproduced with permission from Chang JB, Stein TA

Rearfoot movement during running

(F) A femoral hernia follows the course of the femoral artery and vein into the anterior thigh inferior to the inguinal ligament. Source: Chapter II-1.

(Data from Rosenfeld RL. N Engl J Med 2005; 353:2578–2588.)

(Reproduced, with permission, from Langman J, Sadler TW

Changes in the ovarian follicle, endometrial thickness, and serum hormone levels during a 28-day menstrual cycle. P, progesterone; E2, estradiol; LH, luteinizing.

Dilatation of cervix with a Hegar dilator

(Data from Rosenfeld RL. N Engl J Med 2005; 353:2578–2588.)

Neuraxial analgesia. A. Combined spinal-epidural analgesia. B

Abdominal CT imaging performed postpartum in a woman with severe HELLP syndrome and right-upper quadrant pain. A large subcapsular hematoma (asterisk)

Increased glomerular filtration rate in early pregnancy in normal women, those stable after unilateral nephrectomy, and those with a successful renal transplant.

Chart for estimating body mass index (BMI)

Necrotic hysterotomy infection

Mechanism of labor for the left occiput transverse position, lateral view. A. Engagement. B. After engagement, further descent. C. Descent and initial.

Mechanism of labor for the left occiput transverse position, lateral view. A. Engagement. B. Posterior asynclitism at the pelvic brim followed by lateral.

Mirena/Skyla® IUD insertion A. Gently sound uterus

FC female condom insertion and positioning. A

(Reproduced, with permission, from Emiliano Chavira, MD.)

Major cerebral veins and venous sinuses subject to thrombotic occlusion. (Used with permission from Waxman S. Clinical Neuroanatomy. 26th ed. New York,

The common denominator is development of a self-perpetuating noncyclic hormonal pattern. Source: Chapter 17. Polycystic Ovarian Syndrome and Hyperandrogenism,

[From: Galli : et al: Emergency Orthopedics: The Spine

Two umbilical arteries are typically documented sonographically in the second trimester. They encircle the fetal bladder (asterisk) as extensions of the.

Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.

Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.

Presentation transcript:

Uterine artery ligation Uterine artery ligation. Ligate uterine artery and vein at lower uterine segment, 2–3 cm below level of uterine incision. Place 2–3 cm medial to uterine vessels through myometrium and then lateral to vessels through broad ligament. Palpate ureter medial to lower uterine segment. For hemorrhage, need bilateral sutures—decreases pulse pressure. (Used with permission from Cunningham F, Leveno KJ, Bloom SL, et al. Chapter 41. Obstetrical hemorrhage. In: Cunningham F, Leveno KJ, Bloom SL, et al., eds. Williams Obstetrics. 24th ed. New York, NY: McGraw-Hill; 2013.) Source: Obstetrics, The Johns Hopkins Handbook of Obstetrics and Gynecology Citation: Szymanski LM, Bienstock JL. The Johns Hopkins Handbook of Obstetrics and Gynecology; 2015 Available at: http://obgyn.mhmedical.com/DownloadImage.aspx?image=/data/books/1657/szymanski_ch01_fig-01-24.png&sec=107289975&BookID=1657&ChapterSecID=107289679&imagename= Accessed: October 15, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved